Individual provider · Type 1 NPI
Bruce Lackie, PhD
Clinical Social Worker · Orono, ME
Practice location
56 Taylor Rd
Orono, ME 04473-3205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LC10413 (ME) |
| Clinical Social Worker | 1041C0700X | CW 001208 L (PA) |
| Clinical Social Worker | 1041C0700X | SC-02716 (NJ) |
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 1629189824
Bruce Lackie, PhD's National Provider Identifier is 1629189824, issued on Aug 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Orono, ME. The record was last updated on Jul 8, 2007.