Individual provider · Type 1 NPI

Heidi Sistare

Clinical Social Worker · Portland, ME

NPI number 1154830073 Active

Practice location

180 Park Ave
Portland, ME 04102-2957

Call (207) 874-2141 Map

Mailing address

215 N Main St
White River Junction, VT 05009-0001

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCAC6285 (ME)
Clinical Social Worker 1041C0700XLC17651 (ME)
Clinical Social Worker Primary 1041C0700X089.0134405 (VT)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1154830073

Heidi Sistare's National Provider Identifier is 1154830073, issued on Sep 22, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, ME. The record was last updated on May 12, 2022.