Individual provider · Type 1 NPI

John W. Reidy, LCSW

Clinical Social Worker · Gorham, ME

NPI number 1376773044 Active

Practice location

102 Gordon Farms Rd
Gorham, ME 04038-2389

Fax (207) 893-2086

Mailing address

PO Box 1360
Windham, ME 04062-1360

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC12053 (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 1376773044

John W. Reidy, LCSW's National Provider Identifier is 1376773044, issued on Jul 16, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gorham, ME. The record was last updated on Jul 16, 2009.