Individual provider · Type 1 NPI

Mary F. Kellogg, LMSW CC

Clinical Social Worker · Bangor, ME

NPI number 1275718025 Active

Practice location

268 Stillwater Ave, Acadia Hospital Corp
Bangor, ME 04401

Call (207) 973-6100 Map

Fax (207) 973-6109

Mailing address

PO Box 422, Acadia Hospital Corp
Bangor, ME 04402-0422

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XMC11146 (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 1275718025

Mary F. Kellogg, LMSW CC's National Provider Identifier is 1275718025, issued on Dec 28, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bangor, ME. The record was last updated on Dec 28, 2007.