Crescent Psychotherapy
Social Worker (Clinical)

Address: 168 Neal St, Portland, ME 04102-3343
Phone: 2075606033

Crescent Psychotherapy (NPI# 1245845130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1245845130
Entity Type Organization
Practice Address 168 Neal St
ME 04102-3343
Practice Telephone 2075606033
Mailing Address Po Box 5244
ME 04101-0944
Mailing Telephone 2075606033
Authorized Official Name Tara Cynthia Beaudoin-ambrose (BILLING SPECIALIST)
Authorized Official Telephone 2078380512
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-09-09
Last Update Date 2020-09-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1041C0700X Social Worker · Clinical Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Crescent Psychotherapy, LLC Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

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Office Location

Street Address 168 NEAL ST
State ME
Zip Code 04102-3343

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
1841811338 Abby Zarotny Sahagian Nurse Anesthetist, Certified Registered Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 2020-05-06
1124656863 Zachary Bernard Tillett Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall St., Portland, ME 04102 2020-03-30
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
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Zip Code 04102

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Dataset Information

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.