Individual provider · Type 1 NPI

Kristine D. Lassiter, LCSW

Clinical Social Worker · Gorham, ME

NPI number 1942646690 Active

Practice location

17 Tink Dr
Gorham, ME 04038-1343

Mailing address

11 Baxter Blvd Fl 2
Portland, ME 04101-1801

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLCSW218627 (MA)
Clinical Social Worker Primary 1041C0700XLC17971 (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 1942646690

Kristine D. Lassiter, LCSW's National Provider Identifier is 1942646690, issued on May 21, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gorham, ME. The record was last updated on Sep 27, 2023.