Provider Demographics
NPI:1427185925
Name:CUSHING, ANNA D'EPIRO (LICSW LCSW)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:D'EPIRO
Last Name:CUSHING
Suffix:
Gender:F
Credentials:LICSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 BAILEY HILL RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04938-6624
Mailing Address - Country:US
Mailing Address - Phone:207-491-8837
Mailing Address - Fax:
Practice Address - Street 1:452 BAILEY HILL RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04938-6624
Practice Address - Country:US
Practice Address - Phone:207-491-8837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1042141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical