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

IDA M. O'DONNELL, LCSW

Active

Clinical Social Worker · SOUTH PORTLAND, ME

Registration Details

NPI Number
1902810468
Provider Type
Individual
Gender
Female
NPI Issued
Jul 28, 2006 (19.752320687699 yrs)
Last Updated
May 16, 2012
License
LC4676 (ME)

Practice Information

Address
813 BROADWAY
ART OF AWARENESS, INC.
SOUTH PORTLAND, ME, 041062708
Browse ME providers · Browse ZIP 04106
Phone
2077991331
Fax
2077991350
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SOUTH PORTLAND, ME

Name Credential NPI
MS. MOLLY DANA STANLEY LCSW 1487634473
DOROTHY HEGGIE LCSW 1043272578
DONALD KENT LCSW, CCS 1285683763
LYNNE UNGER LCSW 1669418430
MS. MAUREEN F GREER LCSW LADC 1215962584
ANN ELIZABETH GAYER LCSW 1669494969
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.