Provider Demographics
NPI:1295979128
Name:WORCESTER, EVE Y (LCPC-C, CADC)
Entity type:Individual
Prefix:
First Name:EVE
Middle Name:Y
Last Name:WORCESTER
Suffix:
Gender:F
Credentials:LCPC-C, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:488 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-6238
Mailing Address - Country:US
Mailing Address - Phone:207-514-6043
Mailing Address - Fax:207-333-6939
Practice Address - Street 1:300 PINE ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6309
Practice Address - Country:US
Practice Address - Phone:207-777-3399
Practice Address - Fax:207-777-3391
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC4040101YA0400X
MEXL3253101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)