Provider Demographics
NPI:1568531853
Name:SCRIBNER, CURTIS M JR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:M
Last Name:SCRIBNER
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 KENWOOD STREET
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-2704
Mailing Address - Country:US
Mailing Address - Phone:207-712-3160
Mailing Address - Fax:207-662-3863
Practice Address - Street 1:1 HARNOIS AVENUE
Practice Address - Street 2:MAINE MEDICAL PARTNERS
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-4392
Practice Address - Country:US
Practice Address - Phone:207-662-1360
Practice Address - Fax:207-662-1361
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC65881041C0700X, 104100000X
MELC3737101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432077699OtherSTATE PROVIDER NO.
ME002704001Medicare PIN
ME432077699OtherSTATE PROVIDER NO.
ME002704003Medicare PIN
ME002704002Medicare PIN