Provider Demographics
NPI:1346202819
Name:MARX ADAMS, LORRIE MAE (MSW LCSW)
Entity Type:Individual
Prefix:
First Name:LORRIE
Middle Name:MAE
Last Name:MARX ADAMS
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:997 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04073-3512
Mailing Address - Country:US
Mailing Address - Phone:207-324-4777
Mailing Address - Fax:207-324-3655
Practice Address - Street 1:95 PARKER ST
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-4033
Practice Address - Country:US
Practice Address - Phone:978-225-2250
Practice Address - Fax:978-225-2251
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC7041104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME7335812OtherAETNA
ME079048OtherMMCPHO
ME079048OtherANTHEM BEHAVIORAL HEALTH
ME365871OtherMHN
ME365871OtherMHN