Provider Demographics
NPI:1285052746
Name:KRUPINSKY, ALEANA MARIE (LCSW)
Entity type:Individual
Prefix:MS
First Name:ALEANA
Middle Name:MARIE
Last Name:KRUPINSKY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:ME
Mailing Address - Zip Code:04344-2800
Mailing Address - Country:US
Mailing Address - Phone:207-240-6650
Mailing Address - Fax:207-465-7184
Practice Address - Street 1:62 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:ME
Practice Address - Zip Code:04344-2800
Practice Address - Country:US
Practice Address - Phone:207-240-6650
Practice Address - Fax:207-465-7184
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2014-12-10
Deactivation Date:2014-07-08
Deactivation Code:
Reactivation Date:2014-12-10
Provider Licenses
StateLicense IDTaxonomies
MELC13394104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker