Individual provider · Type 1 NPI

Laura Malone Wakeman, LCSW-C

Clinical Social Worker · Machias, ME

NPI number 1053921437 Active

Practice location

160 Dublin St
Machias, ME 04654-3409

Mailing address

259 Mooseneck Rd
Addison, ME 04606-3543

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X26104 (MD)
Clinical Social Worker Primary 1041C0700XLC23079 (ME)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1053921437

Laura Malone Wakeman, LCSW-C's National Provider Identifier is 1053921437, issued on Jul 31, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Machias, ME. The record was last updated on May 19, 2025.