Provider Demographics
NPI:1225513831
Name:PARLIN, SAMANTHA LOUISE CIULLO (LMSW-CC)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:LOUISE CIULLO
Last Name:PARLIN
Suffix:
Gender:F
Credentials:LMSW-CC
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:LOUISE
Other - Last Name:CIULLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW-CC
Mailing Address - Street 1:141 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-4222
Mailing Address - Country:US
Mailing Address - Phone:207-756-5506
Mailing Address - Fax:
Practice Address - Street 1:71 US ROUTE 1 STE H
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-7174
Practice Address - Country:US
Practice Address - Phone:207-774-3570
Practice Address - Fax:207-774-3540
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical