Provider Demographics
NPI:1316065816
Name:CASHMAN, JEAN HIBBARD (LCSW)
Entity type:Individual
Prefix:MS
First Name:JEAN
Middle Name:HIBBARD
Last Name:CASHMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JEAN
Other - Middle Name:ELIZABETH
Other - Last Name:HIBBARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:739 WOODLAND CENTER RD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04736-5144
Mailing Address - Country:US
Mailing Address - Phone:207-498-2261
Mailing Address - Fax:
Practice Address - Street 1:24 SWEDEN ST
Practice Address - Street 2:
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736-2127
Practice Address - Country:US
Practice Address - Phone:207-498-2261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC42551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical