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NPI Code Detail

MEDICARE: MELISSA JANE HOSKINS LCSW

MEDICARE: MELISSA JANE HOSKINS 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
11041C0700XClinical Social WorkerLC15144ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17978269OTHERMEDRIVERS LICENSE

General Provider Information

NPI Number : 1326618257
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA JANE HOSKINS LCSW
Provider Business Mailing Address
First Line : 69 POND RD
Second Line :
City : LEWISTON
State : ME
Zip : 04240-1608
Country : US
Telephone Number : 207-784-2703
Fax Number :
Provider Business Practice Location Address
First Line : 525 FOREST AVE
Second Line :
City : PORTLAND
State : ME
Zip : 04101-1533
Country : US
Telephone Number : 207-494-8010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2021
Last Update Date : 07/11/2025

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