Healthcare Provider Details

I. General information

NPI: 1861466831
Provider Name (Legal Business Name): DAVID WARD LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 MAIN ST
YARMOUTH ME
04096-6755
US

IV. Provider business mailing address

261 MAIN ST
YARMOUTH ME
04096-6755
US

V. Phone/Fax

Practice location:
  • Phone: 207-846-3422
  • Fax: 207-846-3438
Mailing address:
  • Phone: 207-846-3422
  • Fax: 207-846-3438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLC2231
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC7267
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: