Individual provider · Type 1 NPI
Lawrence Joel Herdade, LCSW
School Social Worker · Portland, ME
NPI number
1609173673
Active
Practice location
195 North St
Portland, ME 04101-2734
Fax (207) 874-8234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | LC1169 (ME) |
| School Social Worker Primary | 1041S0200X | LC1169 (ME) |
School Social Worker: Definition to come...
Another provider at this address
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About NPI 1609173673
Lawrence Joel Herdade, LCSW's National Provider Identifier is 1609173673, issued on Feb 28, 2011. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Portland, ME. The record was last updated on Feb 28, 2011.