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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JACQUELYN CONWAY DODGE, LCSW

Active Sole Proprietor

MS. JACQUELYN CONWAY DODGE, LCSW is a Clinical Social Worker healthcare provider located in ELLSWORTH, Maine. NPI 1700080579 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ELLSWORTH, ME

Registration Details

NPI Number
1700080579
Provider Type
Individual
Gender
Female
NPI Issued
Jun 13, 2007 (19.155904850571 yrs)
Last Updated
Jul 8, 2007
License
1775 (ME)
Sole Proprietor
Yes

Practice Information

Address
198 MAIN ST
ELLSWORTH, ME, 046051941
Browse ME providers · Browse ZIP 04605
Phone
2076679278
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in ELLSWORTH, ME

Name Credential NPI
MS. TRACY HASKELL MSW, LCSW 1659376093
MS. CHERYL MARTHA RUBIN LCSW 1780680553
MRS. MARTHA GILCHRIST OSTER LCSW 1538176185
DAVID M HARLAN LCSW 1780776179
MRS. AMIE LYN HASHAM LCSW 1265528392
MS. BARBARA E BLAND LCSW 1639269947
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.