Individual provider · Type 1 NPI

Warren G. Hathaway, LCSW

Clinical Social Worker · Scarborough, ME

NPI number 1750498648 Active

Practice location

71 US Route 1 Ste C
Scarborough, ME 04074-7174

Fax (207) 883-5552

Mailing address

190 Riverside St Unit 6B
Portland, ME 04103-1073

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X0890000910 (VT)
Clinical Social Worker Primary 1041C0700XLC19474 (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 1750498648

Warren G. Hathaway, LCSW's National Provider Identifier is 1750498648, issued on Aug 24, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Scarborough, ME. The record was last updated on Nov 20, 2020.