Provider Demographics
NPI:1306905898
Name:BATCHELOR, SUSAN M (LCSW)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:M
Last Name:BATCHELOR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 RIVER RD
Mailing Address - Street 2:UNIT 9
Mailing Address - City:NEWCASTLE
Mailing Address - State:ME
Mailing Address - Zip Code:04553-3845
Mailing Address - Country:US
Mailing Address - Phone:207-380-3830
Mailing Address - Fax:
Practice Address - Street 1:27 RIVER RD
Practice Address - Street 2:UNIT 9
Practice Address - City:NEWCASTLE
Practice Address - State:ME
Practice Address - Zip Code:04553-3845
Practice Address - Country:US
Practice Address - Phone:207-380-3830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC83781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME115553OtherTRICARE
ME047566OtherANTHEM BEHAVIORAL HEALTH
ME2198476OtherCIGNA
ME047566OtherANTHEM BEHAVIORAL HEALTH