Provider Demographics
NPI:1134634348
Name:KLEIN-STROPNICKY, LILY (MSW)
Entity Type:Individual
Prefix:
First Name:LILY
Middle Name:
Last Name:KLEIN-STROPNICKY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04841-3304
Mailing Address - Country:US
Mailing Address - Phone:207-596-0359
Mailing Address - Fax:207-596-0350
Practice Address - Street 1:7 POMERLEAU ST
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-9457
Practice Address - Country:US
Practice Address - Phone:207-710-2848
Practice Address - Fax:207-710-2847
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELM167371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical