Provider Demographics
NPI:1851621585
Name:SPEEL, KAREN TIFFANY (LICSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:TIFFANY
Last Name:SPEEL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SPRINGBROOK DR
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-9443
Mailing Address - Country:US
Mailing Address - Phone:844-292-0111
Mailing Address - Fax:207-282-2581
Practice Address - Street 1:2 SPRINGBROOK DR
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-9443
Practice Address - Country:US
Practice Address - Phone:844-292-0111
Practice Address - Fax:207-282-2581
Is Sole Proprietor?:No
Enumeration Date:2009-12-31
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1159291041C0700X
MELC241271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical