Provider Demographics
NPI:1568475697
Name:ABSHER, ELSIE JANE (LMSW)
Entity Type:Individual
Prefix:
First Name:ELSIE
Middle Name:JANE
Last Name:ABSHER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ELSIE
Other - Middle Name:J
Other - Last Name:ABSHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:736 OLD LEWISTON RD
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:ME
Mailing Address - Zip Code:04364-4121
Mailing Address - Country:US
Mailing Address - Phone:207-377-8122
Mailing Address - Fax:207-377-8564
Practice Address - Street 1:736 OLD LEWISTON RD
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:ME
Practice Address - Zip Code:04364-4121
Practice Address - Country:US
Practice Address - Phone:207-377-8122
Practice Address - Fax:207-377-8564
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC115451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432200199Medicaid