Healthcare Provider Details

I. General information

NPI: 1922353887
Provider Name (Legal Business Name): ANDREW S CLUFF
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2012
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MAIN ST
TURNER ME
04282-4138
US

IV. Provider business mailing address

180 CHURCH HILL RD STE 1
LEEDS ME
04263-3418
US

V. Phone/Fax

Practice location:
  • Phone: 207-955-5800
  • Fax: 207-931-1247
Mailing address:
  • Phone: 207-955-5800
  • Fax: 207-931-1247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC14995
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: