Provider Demographics
NPI:1790180792
Name:NANCY GERMAN
Entity type:Organization
Organization Name:NANCY GERMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:207-491-7235
Mailing Address - Street 1:26 TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:NEW SHARON
Mailing Address - State:ME
Mailing Address - Zip Code:04955-3503
Mailing Address - Country:US
Mailing Address - Phone:207-481-7235
Mailing Address - Fax:207-778-5614
Practice Address - Street 1:26 TAYLOR RD
Practice Address - Street 2:
Practice Address - City:NEW SHARON
Practice Address - State:ME
Practice Address - Zip Code:04955-3503
Practice Address - Country:US
Practice Address - Phone:207-481-7235
Practice Address - Fax:207-778-5614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-03
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC4552251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health