Individual provider · Type 1 NPI
Timothy Douglas Van Sickle
Clinical Social Worker · Bangor, ME
Practice location
15 Grant St
Bangor, ME 04401-3819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1548056062
Timothy Douglas Van Sickle's National Provider Identifier is 1548056062, issued on Apr 21, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bangor, ME. The record was last updated on Apr 21, 2025.