Basic Information
| Provider Information | |||||||||
| NPI: | 1629130497 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VEIT | ||||||||
| FirstName: | ANTHONY | ||||||||
| MiddleName: | THOMAS | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5 COMMERCE DR | ||||||||
| Address2: | |||||||||
| City: | SKOWHEGAN | ||||||||
| State: | ME | ||||||||
| PostalCode: | 049764823 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2076263478 | ||||||||
| FaxNumber: | 2076267586 | ||||||||
| Practice Location | |||||||||
| Address1: | 66 STONE ST | ||||||||
| Address2: | |||||||||
| City: | AUGUSTA | ||||||||
| State: | ME | ||||||||
| PostalCode: | 043305227 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2076263478 | ||||||||
| FaxNumber: | 2076267586 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2006 | ||||||||
| LastUpdateDate: | 07/18/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | LS7242 | ME | N | Behavioral Health & Social Service Providers | Social Worker | 1041C0700X | MC16579 | ME | N | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | LC18024 | ME | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.