Healthcare Provider Details

I. General information

NPI: 1720874597
Provider Name (Legal Business Name): SCOTT NATHAN LESSER CADC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 CUMBERLAND ST
WESTBROOK ME
04092-3045
US

IV. Provider business mailing address

1512 MAIN ST
LEWISTON ME
04240-2621
US

V. Phone/Fax

Practice location:
  • Phone: 561-623-3009
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCAC8981
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: