Provider Demographics
NPI:1225058258
Name:BARCLAY, ANN J (MA, LCPC, LADC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:J
Last Name:BARCLAY
Suffix:
Gender:F
Credentials:MA, LCPC, LADC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 674
Mailing Address - Street 2:
Mailing Address - City:SEARSPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04974-0674
Mailing Address - Country:US
Mailing Address - Phone:207-338-9145
Mailing Address - Fax:207-338-9922
Practice Address - Street 1:9 FIELD ST
Practice Address - Street 2:SUITE 217
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6661
Practice Address - Country:US
Practice Address - Phone:207-338-9145
Practice Address - Fax:207-338-9922
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC1034101YA0400X
MECC191101YM0800X
MEMF192106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME5952714OtherAETNA
ME172068OtherMAGELLAN
ME041275OtherBC/BS
ME2082147OtherCIGNA