Healthcare Provider Details

I. General information

NPI: 1780925826
Provider Name (Legal Business Name): ANGELICA R MCADAM-KING CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELICA MCADAM

II. Dates (important events)

Enumeration Date: 03/14/2013
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 MAIN ST
PRESQUE ISLE ME
04769-2817
US

IV. Provider business mailing address

172 ACADEMY ST
PRESQUE ISLE ME
04769-3165
US

V. Phone/Fax

Practice location:
  • Phone: 207-768-3304
  • Fax: 207-764-6340
Mailing address:
  • Phone: 207-540-1522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC23974
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW1143350
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: