Provider Demographics
NPI:1043288038
Name:MEADOWS, ELIZABETH H (MSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:H
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1114
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:ME
Mailing Address - Zip Code:04217
Mailing Address - Country:US
Mailing Address - Phone:704-575-1138
Mailing Address - Fax:414-456-6259
Practice Address - Street 1:146 PARADISE ROAD
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:ME
Practice Address - Zip Code:04217
Practice Address - Country:US
Practice Address - Phone:704-575-1138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2019-06-17
Deactivation Date:2011-05-27
Deactivation Code:
Reactivation Date:2019-04-30
Provider Licenses
StateLicense IDTaxonomies
NC453104100000X
NC373106H00000X
ME164541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist