Provider Demographics
NPI:1871982090
Name:SCHEIB, MICHAEL ADAM (LCSW)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ADAM
Last Name:SCHEIB
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 SWAN ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-7423
Mailing Address - Country:US
Mailing Address - Phone:319-430-6378
Mailing Address - Fax:
Practice Address - Street 1:14 SWAN ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-7423
Practice Address - Country:US
Practice Address - Phone:319-430-6378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-12
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELM14758104100000X
MELC165841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker