Individual provider · Type 1 NPI

Angie M. Shahmoradi, LCSW

Clinical Social Worker · Fairfield, ME

NPI number 1164567905 Active

Practice location

PO Box 358
Fairfield, ME 04937-0358

Fax (207) 453-7064

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC17434 (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 1164567905

Angie M. Shahmoradi, LCSW's National Provider Identifier is 1164567905, issued on Feb 20, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfield, ME. The record was last updated on Mar 28, 2025.