Provider Demographics
NPI:1972927747
Name:GUERNSEY, MARYANN B (LCSW)
Entity Type:Individual
Prefix:
First Name:MARYANN
Middle Name:B
Last Name:GUERNSEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARYANN
Other - Middle Name:F
Other - Last Name:BROOKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:75 MECHANIC ST STE 206E
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04841-3513
Mailing Address - Country:US
Mailing Address - Phone:207-466-9024
Mailing Address - Fax:
Practice Address - Street 1:75 MECHANIC ST STE 206E
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:ME
Practice Address - Zip Code:04841
Practice Address - Country:US
Practice Address - Phone:207-466-9024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-13
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC160041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical