MEDICARE: LIGHT WITHIN THERAPY & COACHING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1114883832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIGHT WITHIN THERAPY & COACHING, LLC

Provider Business Mailing Address
First Line	:	81 DRAGON FLY DR
Second Line	:
City	:	BETHEL
State	:	ME
Zip	:	04217-3064
Country	:	US
Telephone Number	:	508-409-5925
Fax Number	:

Provider Business Practice Location Address
First Line	:	81 DRAGON FLY DR
Second Line	:
City	:	BETHEL
State	:	ME
Zip	:	04217-3064
Country	:	US
Telephone Number	:	508-409-5925
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER JORDAN
Credential	:	LCSW/LICSW
Telephone Number	:	508-409-5925

Provider Enumeration Date	:	12/26/2025
Last Update Date	:	12/26/2025

Similar Medicare Providers

1134687890 — JENNIFER JORDAN LCSW
Practice Location Address:

81 DRAGON FLY DR
BETHEL, ME
04217-3064

Practice Phone: 207-381-7101
Practice Fax:

1568435345 — HEALTHREACH COMMUNITY HEALTH CENTERS
Practice Location Address:

32 RAILROAD ST
BETHEL, ME
04217-1367

Practice Phone: 207-824-2193
Practice Fax: 207-824-3138

1043288038 — MS. ELIZABETH H MEADOWS MSW
Practice Location Address:

146 PARADISE ROAD
BETHEL, ME
04217

Practice Phone: 704-575-1138
Practice Fax:

1447214234 — JAN R WHITWORTH PAC
Practice Location Address:

32 RAILROAD ST
BETHEL, ME
04217

Practice Phone: 207-824-2193
Practice Fax: 207-824-0012

1306801444 — DR. RICHARD J DECAROLIS DO
Practice Location Address:

32 RAILROAD ST
BETHEL, ME
04217

Practice Phone: 207-824-2193
Practice Fax: 207-824-0012

1073578118 — DR. THOMAS KEVIN FINLEY DO
Practice Location Address:

32 RAILROAD ST
BETHEL, ME
04217

Practice Phone: 207-824-2193
Practice Fax: 207-824-0012

Directions to “LIGHT WITHIN THERAPY & COACHING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.