MEDICARE: TARA K. PULLEN LCSW

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	LC9957	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245435007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA K. PULLEN LCSW

Provider Business Mailing Address
First Line	:	49 PLANTATION LN
Second Line	:
City	:	WELLS
State	:	ME
Zip	:	04090-6466
Country	:	US
Telephone Number	:	207-318-4831
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 WASHINGTON ST
Second Line	:	SUITE 300
City	:	SANFORD
State	:	ME
Zip	:	04073-3031
Country	:	US
Telephone Number	:	207-318-4831
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	11/20/2012

Similar Medicare Providers

1194383208 — GENEVIEVE M PALMATIER LMSW-CC
Practice Location Address:

26 HANSON RIDGE RD
SANFORD, ME
04073-5401

Practice Phone: 207-850-8639
Practice Fax: 207-850-8639

1053138305 — CHRISTINA TRACY LMSW-CC
Practice Location Address:

25 JUNE ST
SANFORD, ME
04073-2621

Practice Phone: 207-490-7000
Practice Fax:

1649541616 — WALGREEN CO.
Practice Location Address:

868 MAIN ST
SANFORD, ME
04073-3530

Practice Phone: 207-490-4008
Practice Fax: 207-490-4025

1033214804 — CAREN KACHORIS NP
Practice Location Address:

866 MAIN ST
SANFORD, ME
04073-3530

Practice Phone: 207-324-9385
Practice Fax:

1730024779 — MANDY LYNE BRACY PMHNP
Practice Location Address:

25 JUNE ST
SANFORD, ME
04073-2621

Practice Phone: 207-651-8076
Practice Fax:

1003020413 — NICOLE M BATTY MD
Practice Location Address:

27 INDUSTRIAL AVE STE 101
SANFORD, ME
04073-5846

Practice Phone: 207-459-1666
Practice Fax:

Directions to “ TARA K. PULLEN LCSW” 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.