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NPI Code Detail

MEDICARE: MADISON WILLSON CHADBOURNE LMSW-CC

MEDICARE: MADISON WILLSON CHADBOURNE LMSW-CC
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 WorkerMC23172ME

General Provider Information

NPI Number : 1548031461
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON WILLSON CHADBOURNE LMSW-CC
Provider Business Mailing Address
First Line : 177 CHADBOURNE RD
Second Line :
City : HARMONY
State : ME
Zip : 04942-6826
Country : US
Telephone Number : 207-343-1002
Fax Number :
Provider Business Practice Location Address
First Line : 8 S MAIN ST
Second Line :
City : MADISON
State : ME
Zip : 04950-4501
Country : US
Telephone Number : 207-343-1002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2024
Last Update Date : 01/30/2026

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Directions to “ MADISON WILLSON CHADBOURNE LMSW-CC” Practice Location

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