Active NPIIndividual providerSole proprietor

Mr. Michael J Dematteo I, LCSW

Social Worker, Clinical in Bangor, Maine

NPI Number1437296340
Practice location
6 State St, Bangor, ME 04401-5112
Fax
207-942-1944
Last updated
July 2, 2019

Michael John Dematteo is a Social Worker, Clinical based in Bangor, ME. Michael John Dematteo practices in Bangor, ME and has the professional credentials of LCSW. The NPI Number for Michael John Dematteo is 1437296340 and holds a License No. LC5117 (ME). The current practice location address for Michael John Dematteo is 6 State St, Bangor, ME 04401-5112 and can be reached out via phone at 207-942-1944 and via fax at 207-942-1944.

Provider Profile Details

NPI Number
1437296340
Provider Name
Michael John Dematteo
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
6 State St, Bangor, ME 04401-5112
Phone Number
207-942-1944
Fax Number
207-942-1944
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 31, 2007
Last Update Date
July 2, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 State St
Bangor, ME 04401-5112
City
Bangor
State
Maine
Zip
04401-5112
Phone Number
207-942-1944
Fax Number
207-942-1944
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
64 Church Street, Office 1A
Ellsworth, ME 04605
City
Ellsworth
State
ME
Zip
04605
Phone Number
207-664-6061
Fax Number
207-664-6051

License Information

License Number
LC5117
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.

Other Social Worker, Clinical providers near Bangor, ME

View all Social Worker, Clinical providers in Bangor →

Frequently Asked Questions

What is the NPI number of Mr. Michael J Dematteo I, LCSW?

The NPI number of Mr. Michael J Dematteo I, LCSW is 1437296340. It was assigned on January 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael J Dematteo I, LCSW?

Mr. Michael J Dematteo I, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC5117.

Where does Mr. Michael J Dematteo I, LCSW practice?

The practice location is 6 State St, Bangor, ME 04401-5112. The office can be reached at 207-942-1944 (phone) or 207-942-1944 (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 1437296340 directly on the NPPES registry website.

Browse related providers