Provider Demographics
NPI:1477580710
Name:MYERS, FELICITY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:FELICITY
Middle Name:
Last Name:MYERS
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:PO BOX 551
Mailing Address - Street 2:
Mailing Address - City:DAMARISCOTTA
Mailing Address - State:ME
Mailing Address - Zip Code:04543-0551
Mailing Address - Country:US
Mailing Address - Phone:207-563-3383
Mailing Address - Fax:207-563-3094
Practice Address - Street 1:27 RIVER RD STE 7
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:ME
Practice Address - Zip Code:04553-3845
Practice Address - Country:US
Practice Address - Phone:207-563-3383
Practice Address - Fax:207-563-3094
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC62331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical