Provider Demographics
NPI:1598092579
Name:CURTIN, ANDREW C (LCSW)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:C
Last Name:CURTIN
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:PO BOX 200
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-0200
Mailing Address - Country:US
Mailing Address - Phone:207-846-6162
Mailing Address - Fax:207-846-6162
Practice Address - Street 1:251 MAIN ST
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-4705
Practice Address - Country:US
Practice Address - Phone:207-846-6162
Practice Address - Fax:207-846-6162
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC12421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical