Provider Demographics
NPI:1154442556
Name:GOLDFINE, JEAN RIDINGTON (LCSW)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:RIDINGTON
Last Name:GOLDFINE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 HIGH ST
Mailing Address - Street 2:STE 2-2
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6548
Mailing Address - Country:US
Mailing Address - Phone:207-338-0849
Mailing Address - Fax:
Practice Address - Street 1:143 HIGH ST
Practice Address - Street 2:STE 2-2
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6548
Practice Address - Country:US
Practice Address - Phone:207-338-0849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC4680101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME27249OtherANTHEM BLUE CROSS BLUE SH
ME27249OtherANTHEM BLUE CROSS BLUE SH