Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Formicola, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174163026

Jennifer Formicola, LCSW is an Addiction (Substance Use Disorder) Counselor in Portland, Maine. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

160 Preble St
Portland, ME 04101-2426
Phone: (207) 420-0601
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1174163026
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 8, 2020
Last updated in NPPESJanuary 8, 2020
Certification dateJanuary 8, 2020

Other providers in Portland