Individual provider · Type 1 NPI

Gary Greenlaw, LICSW

Clinical Social Worker · Bangor, ME

NPI number 1467554253 Active

Practice location

656 State St
Bangor, ME 04401-5609

Call (207) 941-4036 Map

Fax (207) 941-4062

Mailing address

103 Margin St
Orono, ME 04473-3847

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC1548 (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 1467554253

Gary Greenlaw, LICSW's National Provider Identifier is 1467554253, issued on Sep 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 Jul 8, 2007.