Provider Demographics
NPI:1154428878
Name:HOWARD, DOROTHY ESTHER (PHD LCSW)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:ESTHER
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PHD LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 AIRMAIL LANE
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-7229
Mailing Address - Country:US
Mailing Address - Phone:207-338-3746
Mailing Address - Fax:207-338-3746
Practice Address - Street 1:5 AIRMAIL LANE
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-7229
Practice Address - Country:US
Practice Address - Phone:207-338-3746
Practice Address - Fax:207-338-3746
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC4085104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM4977Medicare ID - Type Unspecified