Provider Demographics
NPI:1699362491
Name:ARSENAULT, MEGAN (LMSW-CC)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:
Last Name:ARSENAULT
Suffix:
Gender:F
Credentials:LMSW-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 BEULAH ST
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04073-2503
Mailing Address - Country:US
Mailing Address - Phone:207-608-0038
Mailing Address - Fax:
Practice Address - Street 1:75 MARKET ST STE 304
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-5040
Practice Address - Country:US
Practice Address - Phone:207-400-3188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical