Provider Demographics
NPI:1578631123
Name:SENTNER, PETER STEVEN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:STEVEN
Last Name:SENTNER
Suffix:
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 1:20 COTTAGEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-7369
Mailing Address - Country:US
Mailing Address - Phone:207-871-7431
Mailing Address - Fax:207-871-7457
Practice Address - Street 1:66 STATE ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-3751
Practice Address - Country:US
Practice Address - Phone:207-871-7431
Practice Address - Fax:207-871-7457
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC13221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical