Provider Demographics
NPI:1265432959
Name:LAPIERRE, JAMES M (LCSW)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:LAPIERRE
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 1:478 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-2425
Mailing Address - Country:US
Mailing Address - Phone:207-299-4733
Mailing Address - Fax:207-561-9498
Practice Address - Street 1:235 CENTER ST
Practice Address - Street 2:
Practice Address - City:BREWER
Practice Address - State:ME
Practice Address - Zip Code:04412-1961
Practice Address - Country:US
Practice Address - Phone:207-561-9496
Practice Address - Fax:207-561-9498
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC98301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME254610099Medicaid
ME254610099Medicaid
MEME1252Medicare ID - Type Unspecified