Individual provider · Type 1 NPI

Stacey L. Pelletier, LCSW

Clinical Social Worker · Bangor, ME

NPI number 1619153665 Active

Practice location

61 Main St Ste 31
Bangor, ME 04401-8300

Mailing address

9 Blaisdell Rd
Stetson, ME 04488-3013

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC13699 (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 1619153665

Stacey L. Pelletier, LCSW's National Provider Identifier is 1619153665, issued on Jan 20, 2008. 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 2, 2014.