Individual provider · Type 1 NPI

Michael John Dematteo I, LCSW

Clinical Social Worker · Bangor, ME

NPI number 1437296340 Active

Practice location

6 State St
Bangor, ME 04401-5112

Call (207) 942-1944 Map

Fax (207) 942-1944

Mailing address

64 Church Street, Office 1A
Ellsworth, ME 04605

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC5117 (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 1437296340

Michael John Dematteo I, LCSW's National Provider Identifier is 1437296340, issued on Jan 31, 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 Jul 2, 2019.