Individual provider · Type 1 NPI

Elanda Isabella Mariquita Atencio, LMSW-CC

Clinical Social Worker · Portland, ME

NPI number 1497564264 Active

Practice location

501 Forest Ave
Portland, ME 04101-1503

Mailing address

162 Mount Hunger Shore Rd
Windham, ME 04062-5636

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XMC23420 (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 1497564264

Elanda Isabella Mariquita Atencio, LMSW-CC's National Provider Identifier is 1497564264, issued on Jan 6, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, ME. The record was last updated on Jan 6, 2025.