Provider Demographics
NPI:1538170089
Name:SAWYER, NANCY ANNE (LCSW)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ANNE
Last Name:SAWYER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:ANNE
Other - Last Name:SAWYER-WING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:240 NARROWS POND RD
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:ME
Mailing Address - Zip Code:04364-3664
Mailing Address - Country:US
Mailing Address - Phone:207-344-0018
Mailing Address - Fax:207-344-0019
Practice Address - Street 1:240 NARROWS POND RD
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:ME
Practice Address - Zip Code:04364-3664
Practice Address - Country:US
Practice Address - Phone:207-344-0018
Practice Address - Fax:207-344-0019
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2023-07-17
Deactivation Date:2007-10-31
Deactivation Code:
Reactivation Date:2010-12-17
Provider Licenses
StateLicense IDTaxonomies
MELC64411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME431510099Medicaid
ME431510099Medicaid