Provider Demographics
NPI:1053772160
Name:NEWCOMB, ERIN (LMSW-CC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:NEWCOMB
Suffix:
Gender:F
Credentials:LMSW-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 DEAD RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BOWDOIN
Mailing Address - State:ME
Mailing Address - Zip Code:04287-7103
Mailing Address - Country:US
Mailing Address - Phone:207-841-8237
Mailing Address - Fax:
Practice Address - Street 1:16 BURBANK AVE
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2878
Practice Address - Country:US
Practice Address - Phone:207-798-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC158591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical