Evergreen Psychotherapy
Evergreen Psychotherapy provides Clinical Social Worker services in Portland, Maine. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
844 Stevens AvePortland, ME 04103-2676
Phone: (508) 243-3580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1427879840 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jaime Mastrorio — Owner / Lcsw · (508) 243-3580 |
| Other names | Jaime Mastrorio Lcsw; Jaime Mastrorio Lcsw |
| NPI enumerated | October 18, 2024 |
| Last updated in NPPES | November 15, 2024 |
| Certification date | November 15, 2024 |
| Mailing address | 844 Stevens Ave, Portland, ME 04103-2676 |
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