Active NPIIndividual provider

Larry P Bolster, LCSW

Social Worker, Clinical in Bangor, Maine

NPI Number1326149725
Practice location
86 Davis RD, Bangor, ME 04401
Fax
207-992-2207
Last updated
May 6, 2021

Larry P Bolster is a Social Worker, Clinical based in Bangor, ME. Larry P Bolster practices in Bangor, ME and has the professional credentials of LCSW. The NPI Number for Larry P Bolster is 1326149725 and holds a License No. LC9963 (ME). The current practice location address for Larry P Bolster is 86 Davis RD, Bangor, ME 04401 and can be reached out via phone at 207-992-2205 and via fax at 207-992-2207.

Provider Profile Details

NPI Number
1326149725
Provider Name
Larry P Bolster
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
86 Davis RD, Bangor, ME 04401
Phone Number
207-992-2205
Fax Number
207-992-2207
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 26, 2006
Last Update Date
May 6, 2021
Certification Date
May 6, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
86 Davis RD
Bangor, ME 04401
City
Bangor
State
Maine
Zip
04401
Phone Number
207-992-2205
Fax Number
207-992-2207
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
Po Box 1599
Bangor, ME 04402-1599
City
Bangor
State
ME
Zip
04402-1599
Phone Number
207-945-5247
Fax Number
207-947-0435

License Information

License Number
LC9963
License State
ME
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Larry P Bolster, LCSW?

The NPI number of Larry P Bolster, LCSW is 1326149725. It was assigned on September 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Larry P Bolster, LCSW?

Larry P Bolster, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC9963.

Where does Larry P Bolster, LCSW practice?

The practice location is 86 Davis RD, Bangor, ME 04401. The office can be reached at 207-992-2205 (phone) or 207-992-2207 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326149725 directly on the NPPES registry website.

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