Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER FORMICOLA, LCSW
Active Sole ProprietorJENNIFER FORMICOLA, LCSW is a Addiction (Substance Use Disorder) Counselor healthcare provider located in PORTLAND, Maine. NPI 1174163026 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · PORTLAND, ME
Registration Details
- NPI Number
- 1174163026
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 8, 2020 (6.5805998030307 yrs)
- Last Updated
- Jan 8, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
160 PREBLE STPORTLAND, ME, 041012426Browse ME providers · Browse ZIP 04101
- Phone
- 2074200601
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| MS. DULCIE Y WITMAN | LADC | 1609837327 |
| MS. JOANNA M POOL | LADC | 1548223993 |
| DAVID ARTWELL BIGELOW | M.A. LADC | 1750333647 |
| MR. JUDD WILLIAM HUME | LADC | 1386740561 |
| STACIA FITCH | LCSW, LADC | 1306922190 |
| PAUL RANUCCI | LCPC | 1356410138 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.