Provider Demographics
NPI:1750681318
Name:PINETTE, WHITNEY LEIGH (LSW-C)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:LEIGH
Last Name:PINETTE
Suffix:
Gender:F
Credentials:LSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 SWEDEN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736-2124
Mailing Address - Country:US
Mailing Address - Phone:207-492-0100
Mailing Address - Fax:
Practice Address - Street 1:14 SWEDEN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736-2124
Practice Address - Country:US
Practice Address - Phone:207-492-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELSX12483104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker