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DR. BRUCE LACKIE PH.D.
NPI 1629189824
Social Worker - Clinical in Orono, ME

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Bruce Lackie Ph.d. NPPES

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

DR. BRUCE LACKIE PH.D. (NPI 1629189824) is an individual clinical provider in Orono, Maine, licensed in Maine (LC10413) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1971).

NPPES Registry Identity

NPI1629189824
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. BRUCE LACKIECredential: PH.D.
Location Address56 TAYLOR RDOrono, ME 04473-3205
Mailing Address56 Taylor RdOrono, ME 04473-3205 · (207) 866-0451
Phone(207) 866-0451
Sole ProprietorYes
Medical School CMSOtherGraduated 1971
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629189824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in ME · LC10413✔ Licensed in PA · CW 001208 L✔ Licensed in NJ · SC-02716
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.
56 TAYLOR RD, Orono, ME 04473
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedLA129259PA · Csw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bruce Lackie Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688621477
PECOS Enrollment IDI20070323000315
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04473 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.26 – $162.77
Typical copayment $0.00 (range $13.31 – $40.69)
Most-billed visit code NA
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Bruce Lackie's NPI number?

The NPI number for Bruce Lackie is 1629189824. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Bruce Lackie located?

Bruce Lackie practices at 56 Taylor Rd, Orono, ME 04473. The listed phone number is (207) 866-0451.

What is Bruce Lackie's specialty?

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

Is Bruce Lackie enrolled in Medicare?

Yes. Bruce Lackie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bruce Lackie accept?

Health plans from Anthem Blue Cross and Blue Shield list Bruce Lackie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bruce Lackie 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.