Healthcare Provider Details

I. General information

NPI: 1750681318
Provider Name (Legal Business Name): WHITNEY LEIGH PINETTE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2010
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 REACH RD
PRESQUE ISLE ME
04769-5040
US

IV. Provider business mailing address

201 REACH RD
PRESQUE ISLE ME
04769-5040
US

V. Phone/Fax

Practice location:
  • Phone: 207-478-8003
  • Fax:
Mailing address:
  • Phone: 207-478-8003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC25788
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSX12483
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC17488
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: