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LYNN A QUACKENBUSH LCSW
NPI 1710087663
Social Worker - Clinical in Bangor, ME

Active since September 22, 2006Opted out of Medicare · through Apr 1, 2028
268 STILLWATER AVE, ACADIA HOSPITAL CORP., BANGOR, ME 04401(207) 973-6100(207) 973-6109 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lynn A Quackenbush Lcsw NPPES

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

LYNN A QUACKENBUSH LCSW (NPI 1710087663) is an individual clinical provider in Bangor, Maine, licensed in Maine (LC7004) and active in the NPI registry since September 2006. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1710087663
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLYNN A QUACKENBUSHCredential: LCSW
Location Address268 STILLWATER AVE, ACADIA HOSPITAL CORP.Bangor, ME 04401-3945
Mailing Address12301 S Main St, The Menninger ClinicHouston, TX 77035-6207 · (713) 275-5000 · Fax (207) 973-6109
Phone(207) 973-6100
Fax(207) 973-6109
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateAugust 13, 2018
✔ NPI 1710087663 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 · LC7004
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 AVE, Bangor, ME 04401
Open in Google Maps ↗

Other Identifiers 1

Medicaid104000000ME

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lynn A Quackenbush Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

DR. KAREN SINGH MD
Student in an Organized Health Care Education/Training Program
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
CRYSTLE ELDRIDGE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
ALENA AYOTTE OTR/L
Occupational Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
DR. CLIFFORD M SINGER M.D.
Psychiatry & Neurology (Geriatric Psychiatry)
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
JENNIFER M TRACEY LMFT
Marriage & Family Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
JUSTIN MICHAUD
Counselor (Professional)
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6044
KATHERINE DIONNE OT
Occupational Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
MARIA GLIDDEN OTR/L
Occupational Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100

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 Lynn Quackenbush's NPI number?

The NPI number for Lynn Quackenbush is 1710087663. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Lynn Quackenbush located?

Lynn Quackenbush practices at 268 Stillwater Ave Acadia Hospital Corp., Bangor, ME 04401. The listed phone number is (207) 973-6100.

What is Lynn Quackenbush's specialty?

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

Is Lynn Quackenbush enrolled in Medicare?

No. Lynn Quackenbush has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lynn Quackenbush was last updated on August 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.