Provider Demographics
NPI:1780055707
Name:OAKES, GEROMY (LMSW-CC)
Entity type:Individual
Prefix:
First Name:GEROMY
Middle Name:
Last Name:OAKES
Suffix:
Gender:M
Credentials:LMSW-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 WALDO AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6928
Mailing Address - Country:US
Mailing Address - Phone:207-460-4406
Mailing Address - Fax:
Practice Address - Street 1:147 WALDO AVE STE 106
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6928
Practice Address - Country:US
Practice Address - Phone:207-460-4406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-16
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC156171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical