IndividualActive
Cam Theriault, LSW-C
NPI 1740558469 · Social Worker · Portland, ME
Provider details
- NPI number
- 1740558469
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LSW-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- LSX13381 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
899 Riverside St
Portland, ME 04103-1070
Phone: (207) 871-1200
Fax: (207) 871-1232
Approximate (ZIP-level) locationGet directions
Mailing address
1002 Meadow Road
Casco, ME 04015
Registry dates
- Enumerated
- 2011-12-08
- Last updated
- 2011-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.