Individual provider · Type 1 NPI

Dianna Gray Soo, LCSW

Clinical Social Worker · Bangor, ME

NPI number 1467546929 Active

Practice location

77 Court St
Bangor, ME 04401-4723

Call (207) 941-0879 Map

Fax (207) 941-0880

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC4625 (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 1467546929

Dianna Gray Soo, LCSW's National Provider Identifier is 1467546929, issued on Oct 2, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bangor, ME. The record was last updated on Mar 5, 2013.