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JENNIFER FORMICOLA LCSW
NPI 1174163026
Counselor - Addiction (Substance Use Disorder) in Portland, ME

Active since January 08, 2020
160 PREBLE ST, PORTLAND, ME 04101(207) 420-0601 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Formicola Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER FORMICOLA LCSW (NPI 1174163026) is an individual addiction (substance use disorder) provider in Portland, Maine and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1174163026
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER FORMICOLACredential: LCSW
Location Address160 PREBLE STPortland, ME 04101-2426
Mailing Address160 Preble StPortland, ME 04101-2426 · (207) 420-0601
Phone(207) 420-0601
Sole ProprietorYes
Enumeration DateJanuary 8, 2020
✔ NPI 1174163026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
160 PREBLE ST, Portland, ME 04101
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES B SKELTON LCSW, LCAS,LADC, CSI
Counselor (Addiction (Substance Use Disorder))
160 PREBLE ST
PORTLAND, ME 04101
Cumberland County (207) 791-2000
PK HOLDINGS, INC.
Substance Abuse Rehabilitation Facility
160 PREBLE ST
PORTLAND, ME 04101
Cumberland County (207) 420-7327
MS. DANIELLE SHAW CIMINO LCPC-C
Counselor (Mental Health)
160 PREBLE ST
PORTLAND, ME 04101
Cumberland County (207) 347-0940
BRUCE LORNE RAYMOND RN
Registered Nurse (Addiction (Substance Use Disorder))
160 PREBLE ST
PORTLAND, ME 04101
Cumberland County (207) 523-9276
TRADECRAFT12 INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
160 PREBLE ST
PORTLAND, ME 04101
Cumberland County (207) 420-7327

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Formicola's NPI number?

The NPI number for Jennifer Formicola is 1174163026. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is Jennifer Formicola located?

Jennifer Formicola practices at 160 Preble St, Portland, ME 04101. The listed phone number is (207) 420-0601.

What is Jennifer Formicola's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Formicola was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.