Provider Demographics
NPI:1700047172
Name:TAGGART, WHITNEY HODGKINS (LMSW-CC)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:HODGKINS
Last Name:TAGGART
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 1:31 SPURWINK DR
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-1166
Mailing Address - Country:US
Mailing Address - Phone:207-582-7686
Mailing Address - Fax:207-582-7688
Practice Address - Street 1:31 SPURWINK DR
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:ME
Practice Address - Zip Code:04330-1166
Practice Address - Country:US
Practice Address - Phone:207-582-7686
Practice Address - Fax:207-582-7688
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC116161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical