Individual provider · Type 1 NPI

Jaime Marie Tardif, LCSW

Clinical Social Worker · Gorham, ME

NPI number 1396963245 Active

Practice location

72 Justice Way
Gorham, ME 04038

Mailing address

55 Atlantic Street, Apt. 2
Portland, ME 04101-4358

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC11211 (ME)

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 1396963245

Jaime Marie Tardif, LCSW's National Provider Identifier is 1396963245, issued on Apr 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gorham, ME. The record was last updated on Oct 6, 2011.