Healthcare Provider Details
I. General information
NPI: 1821963125
Provider Name (Legal Business Name): REBECCA CURTIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/07/2025
Last Update Date: 10/24/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
86 TANDBERG TRL
WINDHAM ME
04062-5841
US
IV. Provider business mailing address
24 FOLLY COVE RD
YARMOUTH ME
04096-5930
US
V. Phone/Fax
- Phone: 207-893-0386
- Fax: 207-893-2086
- Phone: 970-343-2730
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | MC25242 |
| License Number State | ME |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: