Provider Demographics
NPI:1225049075
Name:CLOUTIER, APRIL RENEE (LCSW)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:RENEE
Last Name:CLOUTIER
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 1:95 MCLAIN ROAD
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:ME
Mailing Address - Zip Code:04949-3715
Mailing Address - Country:US
Mailing Address - Phone:207-837-7671
Mailing Address - Fax:
Practice Address - Street 1:95 MCLAIN ROAD
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:ME
Practice Address - Zip Code:04949-3715
Practice Address - Country:US
Practice Address - Phone:207-837-7671
Practice Address - Fax:207-798-3929
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC85011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME333090099Medicaid
ME333090099Medicaid