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NPI Code Detail

MEDICARE: STEPHANIE WORTH

MEDICARE:   STEPHANIE  WORTH
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 WorkerMC22052ME
21041C0700XClinical Social WorkerLC25170ME

General Provider Information

NPI Number : 1598540510
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE WORTH
Provider Business Mailing Address
First Line : PO BOX 102
Second Line :
City : LISBON FALLS
State : ME
Zip : 04252-0102
Country : US
Telephone Number : 207-200-8452
Fax Number :
Provider Business Practice Location Address
First Line : 173 GRAY RD
Second Line :
City : FALMOUTH
State : ME
Zip : 04105-2514
Country : US
Telephone Number : 207-200-8452
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2023
Last Update Date : 08/21/2025

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Directions to “ STEPHANIE WORTH ” Practice Location

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