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NPI Code Detail

MEDICARE: LINDY ELLEN FEIGENBAUM LCSW, LICSW

MEDICARE: LINDY ELLEN FEIGENBAUM LCSW, LICSW
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 Worker117105MA
21041C0700XClinical Social WorkerLC14612ME
31041C0700XClinical Social Worker084083NY

General Provider Information

NPI Number : 1912968553
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDY ELLEN FEIGENBAUM LCSW, LICSW
Provider Business Mailing Address
First Line : PO BOX 172
Second Line :
City : AUGUSTA
State : ME
Zip : 04332-0172
Country : US
Telephone Number : 508-494-9919
Fax Number :
Provider Business Practice Location Address
First Line : 1 VA CTR # 116
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-6795
Country : US
Telephone Number : 508-494-9199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 05/03/2025

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