Provider Demographics
NPI:1902917198
Name:VEITS, CAROL ROMEO (MSW LCSW)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:ROMEO
Last Name:VEITS
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 HARLOW ST STE 221
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401
Mailing Address - Country:US
Mailing Address - Phone:207-945-5640
Mailing Address - Fax:207-992-2560
Practice Address - Street 1:96 HARLOW ST STE 221
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401
Practice Address - Country:US
Practice Address - Phone:207-945-5640
Practice Address - Fax:207-992-2560
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC3450104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
005702OtherANTHEM B H
MEVEMM5826Medicare ID - Type Unspecified