IndividualActive
Alicia Willis, CAC
NPI 1003986340 · Clinical Social Worker · Portland, ME
Provider details
- NPI number
- 1003986340
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- CAC
- Sex
- Female
- Sole proprietor
- No
- License
- CAC2998 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
17 Bishop St
Portland, ME 04103-2659
Phone: (207) 871-1235
Fax: (207) 879-6161
Approximate (ZIP-level) locationGet directions
Mailing address
899 Riverside St
Portland, ME 04103-1070
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.