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AVERY DEVIN HERZOG LMSW-CC
NPI 1033998588
Social Worker - Clinical in Bangor, ME

Active since September 25, 2023
895 UNION ST STE 12, BANGOR, ME 04401(207) 973-7979(207) 947-9579 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avery Devin Herzog Lmsw-cc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERY DEVIN HERZOG LMSW-CC (NPI 1033998588) is an individual clinical provider in Bangor, Maine, licensed in Maine (MC22274) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1033998588
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAVERY DEVIN HERZOGCredential: LMSW-CC
Location Address895 UNION ST STE 12Bangor, ME 04401-3054
Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-5000 · Fax (207) 973-5042
Phone(207) 973-7979
Fax(207) 947-9579
Sole ProprietorNo
Enumeration DateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
✔ NPI 1033998588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ME · MC22274
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
895 UNION ST STE 12, Bangor, ME 04401
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATH MYERS LCSW
Social Worker (Clinical)
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
CHIA CHEN CHUANG DO
Family Medicine
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
CALLAGHAN JOSEPH GILLIS MD
Family Medicine
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
DANE WANNIARACHIGE MD
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
ADAM DAVID SMITH MD
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
HANNAH MARION VARNEY ALBERT DO
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
SUNMEET KAUR MD
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
RAVIN ASHLEY BUSSIERE DO
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avery Herzog's NPI number?

The NPI number for Avery Herzog is 1033998588. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Avery Herzog located?

Avery Herzog practices at 895 Union St Ste 12, Bangor, ME 04401. The listed phone number is (207) 973-7979.

What is Avery Herzog's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Avery Herzog was last updated on September 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.