Individual provider · Type 1 NPI

Jessica Braddock, LCSW

Clinical Social Worker · Stockton Springs, ME

NPI number 1477919561 Active

Practice location

330 Cape Jellison Rd
Stockton Springs, ME 04981-4726

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XMC15861 (ME)
Clinical Social Worker Primary 1041C0700XLC17146 (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 1477919561

Jessica Braddock, LCSW's National Provider Identifier is 1477919561, issued on Jan 6, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stockton Springs, ME. The record was last updated on Aug 6, 2025.