Provider Demographics
NPI:1750747952
Name:SPADONE, ABIGAIL LEAH (LMSW-CC)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:LEAH
Last Name:SPADONE
Suffix:
Gender:F
Credentials:LMSW-CC
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:LEAH
Other - Last Name:KIRSCHBAUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW-CC
Mailing Address - Street 1:66 STATE ST
Mailing Address - Street 2:PO BOX 797
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-3751
Mailing Address - Country:US
Mailing Address - Phone:207-871-7431
Mailing Address - Fax:207-871-7457
Practice Address - Street 1:66 STATE ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-3751
Practice Address - Country:US
Practice Address - Phone:207-871-7431
Practice Address - Fax:207-871-7457
Is Sole Proprietor?:No
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC147941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical