Provider Demographics
NPI:1154005155
Name:FORSTHOEFEL, ALESSANDRA M (LMSW-CC)
Entity type:Individual
Prefix:
First Name:ALESSANDRA
Middle Name:M
Last Name:FORSTHOEFEL
Suffix:
Gender:F
Credentials:LMSW-CC
Other - Prefix:
Other - First Name:ALESSANDRA
Other - Middle Name:M
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:66 BARIBEAU DR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-3230
Mailing Address - Country:US
Mailing Address - Phone:207-373-6950
Mailing Address - Fax:207-373-6959
Practice Address - Street 1:66 BARIBEAU DR
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-3230
Practice Address - Country:US
Practice Address - Phone:207-373-6950
Practice Address - Fax:207-373-6959
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC224331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical