Provider Demographics
NPI:1720874597
Name:LESSER, SCOTT NATHAN (CADC)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:NATHAN
Last Name:LESSER
Suffix:
Gender:
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 PARK ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7203
Mailing Address - Country:US
Mailing Address - Phone:207-520-2695
Mailing Address - Fax:207-440-7922
Practice Address - Street 1:103 PARK ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7203
Practice Address - Country:US
Practice Address - Phone:207-520-2695
Practice Address - Fax:207-440-7922
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC8981101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)