Individual provider · Type 1 NPI

Stanley O. Pettegrow, LCSW

Clinical Social Worker · Old Town, ME

NPI number 1487674859 Active

Practice location

242 Brunswick St
Old Town, ME 04468-1613

Call (207) 827-6128 Map

Mailing address

PO Box 1599
Bangor, ME 04402-1599

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC11074 (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 1487674859

Stanley O. Pettegrow, LCSW's National Provider Identifier is 1487674859, issued on Jul 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Old Town, ME. The record was last updated on May 5, 2021.