MS. LAURIE MATSON FEAR (NPI# 1508377193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508377193 |
| Entity Type | Individual |
| Full Name | MS. LAURIE MATSON FEAR |
| Credential | LADC |
| Practice Address |
918 Broadway South Portland ME 04106-4329 |
| Mailing Address |
138 Ridgeland Ave South Portland ME 04106-4130 |
| Practice Telephone | 4349607769 |
| Mailing Telephone | 4349607769 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LC6757 | ME | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAC6240 | ME | Behavioral Health & Social Service Providers |
| Street Address |
918 BROADWAY |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-4329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457314700 | Susan Jones | Psychologist | 918 Broadway, South Portland, ME 04106-4329 | 2006-04-08 |
| 1215962584 | Maureen F Greer | Counselor | 918 Broadway, South Portland, ME 04106-4329 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280737 | Catherine Audrey Coslett | Counselor | 343 Gorham Rd Ste 8, South Portland, ME 04106-2317 | 2020-09-23 |
| 1245894583 | Susan Emily Worcester | Counselor | 29 Eliot St, South Portland, ME 04106-5919 | 2019-04-23 |
| 1255615308 | Julie M Paquette | Counselor | 11 Riverplace Dr Unit 1126, South Portland, ME 04106-2073 | 2011-10-07 |
| 1588956502 | Terry Dubois | Counselor | 650 Main St Ste 214, South Portland, ME 04106-5448 | 2011-05-10 |
| 1326376393 | June Caroline Finnemore | Counselor | 88 Ridgeland Ave, South Portland, ME 04106-4129 | 2009-12-02 |
| 1548303456 | Teresa Lynn Mallwitz | Counselor | 963 Highland Ave, South Portland, ME 04106-6869 | 2007-02-14 |
| 1063042992 | Lisa Ann Hodgkins I | Counselor | 400 Western Ave, South Portland, ME 04106-1704 | 2020-01-20 |
| 1013554740 | Danielle Margaret Goodwin | Counselor | 400 Western Ave, South Portland, ME 04106-1704 | 2019-12-02 |
| 1558906289 | Camille Ann Woodard | Counselor | 400 Western Ave, South Portland, ME 04106-1704 | 2019-11-18 |
| 1952779407 | Gabrielle Aaron Huotari | Counselor | 650 Main St, Suite 105, South Portland, ME 04106-5448 | 2015-09-14 |
| Find all providers in SOUTH PORTLAND | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on MS. LAURIE MATSON FEAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.