ALEXIS PETTERSON LCSW
NPI 1073156444
Social Worker in Bangor, ME

Active since October 18, 2019
42 CEDAR ST, BANGOR, ME 04401(207) 922-4600(207) 564-3975 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 11, 2021, Sep 23, 2021, Oct 18, 2019 (3 updates tracked since 2019).

About Alexis Petterson Lcsw NPPES

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

ALEXIS PETTERSON LCSW (NPI 1073156444) is an individual social worker in Bangor, Maine, licensed in Maine (MC18211) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1073156444
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameALEXIS PETTERSONCredential: LCSW
Location Address42 CEDAR STBangor, ME 04401-6433
Mailing Address42 Cedar StBangor, ME 04401-6433 · (207) 922-4600 · Fax (207) 564-3975
Fax(207) 564-3975
Sole ProprietorNo
Enumeration DateOctober 18, 2019
Last NPPES UpdateNovember 11, 20213 updates tracked since enumeration
NPPES CertifiedOctober 28, 2021
NPI 1073156444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in ME · MC18211
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

42 CEDAR ST, Bangor, ME 04401

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.

Nurse Practitioner (Psychiatric/Mental Health)
42 CEDAR ST, COMMUNITY HEALTH AND COUNSELING SERVICES
BANGOR, ME 04401
Social Worker (Clinical)
42 CEDAR ST
BANGOR, ME 04401
Psychiatry & Neurology (Psychiatry)
42 CEDAR ST
BANGOR, ME 04401
Psychiatry & Neurology (Psychiatry)
42 CEDAR ST
BANGOR, ME 04401
Registered Nurse (Psychiatric/Mental Health)
42 CEDAR ST
BANGOR, ME 04401
Counselor (Professional)
42 CEDAR ST
BANGOR, ME 04401
Registered Nurse (Psychiatric/Mental Health)
42 CEDAR ST
BANGOR, ME 04401
Psychologist (Clinical)
42 CEDAR ST
BANGOR, ME 04401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073156444, enumerated as an "individual" on October 18, 2019.

The provider is located at 42 CEDAR ST BANGOR, ME 04401 and the phone number is (207) 922-4600.

Social Worker with taxonomy code 104100000X.