ANTHONY BOMMARITO LCSW - NPI 1487755872 - Social Worker in Bangor, ME

Q: What is Anthony Bommarito's NPI number?

The NPI number for Anthony Bommarito is 1487755872. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Anthony Bommarito's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anthony Bommarito was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Anthony Bommarito Lcsw NPPES

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

ANTHONY BOMMARITO LCSW (NPI 1487755872) is an individual clinical provider in Bangor, Maine, licensed in (LC4031) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1487755872

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameANTHONY BOMMARITOCredential: LCSW

Location Address268 STILLWATER AVENUE, ACADIA HOSPITAL CORPBangor, ME 04401

Mailing AddressPo Box 422, Acadia Hospital CorpBangor, ME 04402-0422 · (207) 973-6100 · Fax (207) 973-6109

Phone(207) 973-6100

Fax(207) 973-6109

Sole ProprietorNo

Enumeration DateSeptember 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1487755872 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 · LC4031

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.

268 STILLWATER AVENUE, Bangor, ME 04401

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Other Identifiers 1

Medicare ID-Type UnspecifiedMM7956

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.

RODNEY ST. LOUIS LMSW-CC

Social Worker (Clinical)

268 STILLWATER AVENUE, ACADIA HOSPITAL CORP.
BANGOR, ME 04401

Penobscot County (207) 973-6100

MONIR MOFTAKHARI MUSAVI MD

Psychiatry & Neurology (Psychiatry)