Provider Demographics
NPI:1568502870
Name:WHITLING WALKER, CORINNE N (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CORINNE
Middle Name:N
Last Name:WHITLING WALKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CORINNE
Other - Middle Name:N
Other - Last Name:WHITLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSWCC
Mailing Address - Street 1:BOX 49 14 MAINE STREET
Mailing Address - Street 2:SUITE 210 (F&G)
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011
Mailing Address - Country:US
Mailing Address - Phone:207-798-3922
Mailing Address - Fax:207-798-3944
Practice Address - Street 1:14 MAINE STREET
Practice Address - Street 2:SUITE F & G
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011
Practice Address - Country:US
Practice Address - Phone:207-798-3922
Practice Address - Fax:207-798-3944
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC108021041C0700X
LC119601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical