MS. JANE ELIZABETH FAIRCHILD (NPI# 1558401752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558401752 |
| Entity Type | Individual |
| Full Name | MS. JANE ELIZABETH FAIRCHILD |
| Credential | LCSW |
| Practice Address |
572 Bangor Rd Dover Foxcroft ME 04426 |
| Practice Telephone | 2075642464 |
| Mailing Telephone | 2075642464 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC8922 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 431701999 | 05 |
| Street Address |
572 BANGOR RD |
| City | DOVER FOXCROFT |
| State | ME |
| Zip Code | 04426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588738082 | Charlotte White Center | Contractor | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2006-11-17 |
| 1811315062 | Charlotte White Center | Community/Behavioral Health | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2014-04-04 |
| 1942526181 | Charlotte White Center | Community/Behavioral Health | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2010-04-13 |
| 1003059049 | Charlotte White Center | Custodial Care Facility | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2009-04-07 |
| 1093855207 | Sally L. Larrabee | Registered Nurse | 572 Bangor Rd, Dover Foxcroft, ME 04426 | 2007-02-07 |
| 1063588606 | Charlotte White Center | Day Training, Developmentally Disabled Services | 572 Bangor Rd, Dover Foxcroft, ME 04426 | 2006-11-27 |
| 1447325733 | Charlotte White Center | Community/Behavioral Health | 572 Bangor Rd, Dover Foxcroft, ME 04426 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710429691 | Rachel Fillmore | Counselor | 121 Summer St, Dover Foxcroft, ME 04426 | 2016-11-09 |
| 1215256763 | Kristen Fowles Goddard | Genetic Counselor, MS | 897 West Main Street, Dover-foxcroft, ME 04426 | 2010-05-24 |
| 1407088131 | Kylie Jalene Spratt | Speech-Language Pathologist | 50 Pine Crest Drive, Dover Foxcroft, ME 04426 | 2009-08-13 |
| 1730323205 | Two Rivers Child Development Services | Occupational Therapist | 1092a Douty Hill Road, Dover Foxcroft, ME 04426 | 2009-04-28 |
| 1548463623 | Mrh Corp. | General Acute Care Hospital | 897 W Main Street, Dover Foxcroft, ME 04426 | 2007-06-07 |
| 1992845101 | Elizabeth A. Carolin | Social Worker | 572 Bangor Rd., Dover Foxcroft, ME 04426 | 2007-02-07 |
| 1679583678 | Richard Clarke Macdonald | General Practice | 3 Forest St, Dover-foxcroft, ME 04426 | 2006-08-09 |
| 1659327187 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 1073 W Main St, Suite 9, Dover Foxcroft, ME 04426 | 2006-05-26 |
| 1730143439 | Sheila M Miller | Optometrist | 31 North St, Dover Foxcroft, ME 04426 | 2006-04-12 |
| 1588625602 | Howard A Sleeper | Optometrist | 5 Monument Square Ln, Dover Foxcroft, ME 04426 | 2006-03-29 |
| Find all providers in zip 04426 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013383629 | Charles Edward Scott II | Social Worker | 8 Moosehead Ln Apt 117, Dover Foxcroft, ME 04426-1402 | 2015-08-18 |
| 1750618781 | Karen Marie Gudroe | Social Worker | 1116 West Main Street, Dover Foxcroft, ME 04426-0287 | 2009-11-12 |
| 1902026784 | Suzanne T. Humphries | Social Worker | 1093 W Main St, Dover Foxcroft, ME 04426-3717 | 2007-04-26 |
| 1992845101 | Elizabeth A. Carolin | Social Worker | 572 Bangor Rd., Dover Foxcroft, ME 04426 | 2007-02-07 |
| 1588664163 | David Arthur Goolsby | Social Worker | 26 River St, 2nd Fl, Dover Foxcroft, ME 04426-1321 | 2005-07-26 |
| 1205835550 | Carol W Ippoliti | Social Worker | 59 River St, Dover Foxcroft, ME 04426-1322 | 2005-07-19 |
| 1083231427 | Karen Smith | Social Worker | 264 Summer St, Dover Foxcroft, ME 04426-3443 | 2020-07-01 |
| 1538681077 | Michelle Mason | Social Worker | 1093 W Main St, Dover Foxcroft, ME 04426-3717 | 2017-07-15 |
| 1053747030 | Natali Elaine Plourde | Social Worker | 1093 W Main St, Dover Foxcroft, ME 04426-3717 | 2013-09-23 |
| 1124468640 | Laine Noelle Parsons | Social Worker | 1093 W Main St, Dover Foxcroft, ME 04426-3717 | 2013-06-28 |
| Find all providers in DOVER FOXCROFT | ||||
| City | DOVER FOXCROFT |
| Zip Code | 04426 |
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| 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.