Search › Maine › 104100000X
Jessica Basaldua, LMSW-CC
NPI 1992344329 · on the registry since 2020 · sole proprietor
Practice
- Address
- 75 Central Ave
Lewiston, ME 04240 - Phone
- (207) 795-4180
- Fax
- (207) 753-6419
- Organisation at this address
- Lewiston Public Schools
Community Clinical Services, Inc.
Community Clinical Services, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 178 Gamage Ave Apt 1, Auburn, ME
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YA0400X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine