Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LISA ANNE FIDLER LCSW
NPI 1184665572
Social Worker - Clinical in Bangor, ME

Active since June 09, 2006
656 STATE ST, BANGOR, ME 04401(207) 941-4036(207) 941-4062 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lisa Anne Fidler Lcsw NPPES

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

LISA ANNE FIDLER LCSW (NPI 1184665572) is an individual clinical provider in Bangor, Maine, licensed in Maine (LC10439) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1184665572
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA ANNE FIDLERCredential: LCSW
Location Address656 STATE STBangor, ME 04401-5609
Mailing Address10 Walter StBangor, ME 04401-6232 · (207) 941-4321 · Fax (207) 941-4207
Fax(207) 941-4062
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1184665572 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 · LC10439
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.

656 STATE 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.

Family Medicine (Adult Medicine)
656 STATE ST
BANGOR, ME 04401
Psychiatry & Neurology (Psychiatry)
656 STATE ST
BANGOR, ME 04401
Nurse Practitioner
656 STATE ST
BANGOR, ME 04401
Psychiatry & Neurology (Psychiatry)
656 STATE ST
BANGOR, ME 04401
Psychiatry & Neurology (Psychiatry)
656 STATE ST
BANGOR, ME 04401
Psychiatry & Neurology (Psychiatry)
656 STATE ST
BANGOR, ME 04401
Psychiatry & Neurology (Psychiatry)
656 STATE ST
BANGOR, ME 04401
Psychiatry & Neurology (Psychiatry)
656 STATE ST
BANGOR, ME 04401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184665572, enumerated as an "individual" on June 09, 2006.

The provider is located at 656 STATE ST BANGOR, ME 04401 and the phone number is (207) 941-4036.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.