Provider Demographics
NPI:1144835604
Name:DUNSON TODD, JESSIE MARTEL (LCSW)
Entity type:Individual
Prefix:
First Name:JESSIE
Middle Name:MARTEL
Last Name:DUNSON TODD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JESSIE
Other - Middle Name:
Other - Last Name:DUNSON-TODD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:15 MID COAST DR
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6079
Mailing Address - Country:US
Mailing Address - Phone:844-292-0111
Mailing Address - Fax:207-338-2388
Practice Address - Street 1:15 MID COAST DR
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6079
Practice Address - Country:US
Practice Address - Phone:844-292-0111
Practice Address - Fax:207-338-2388
Is Sole Proprietor?:No
Enumeration Date:2020-09-11
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC217811041C0700X
MEMC189141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical