Individual provider · Type 1 NPI
Marina D. Eddy, LICSW
Addiction (Substance Use Disorder) Counselor · Portland, ME
NPI number
1417019274
Active
Practice location
17 Briarwood Ln
Portland, ME 04103-2775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CADC CAC2971 (ME) |
| Clinical Social Worker | 1041C0700X | LICSW 113669 (MA) |
| Clinical Social Worker | 1041C0700X | LCSW LC7299 (ME) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1417019274
Marina D. Eddy, LICSW's National Provider Identifier is 1417019274, issued on Dec 15, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, ME. The record was last updated on Sep 11, 2025.