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Stanley O Pettegrow, LCSW
Clinical Social Worker in Old Town, Maine
NPI 1487674859

Stanley O Pettegrow is a Clinical Social Worker based in Bangor, ME and is specialized in Clinical. Stanley O Pettegrow practices in Old Town, ME and has the professional credentials of LCSW. The NPI Number for Stanley O Pettegrow is 1487674859 and holds a License No. LC11074 (Maine).

The current practice location address for Stanley O Pettegrow is 242 Brunswick St, Old Town, ME and can be reached out via phone at 207-827-6128.

Location: 242 Brunswick St, Old Town, ME, 04402-1599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487674859
Provider Name
Stanley O Pettegrow
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
242 Brunswick St, Old Town, ME, 04402-1599
Phone Number
207-827-6128
Fax Number
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
242 Brunswick St
City
Old Town
State
Maine
Zip
04468-1613
Phone Number
207-827-6128
Fax Number
person
Provider Business Mailing Address Details
Address
242 Brunswick St
City
Old Town
State
Maine
Zip
04468-1613
Phone Number
207-827-6128
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
LC11074 (Maine)
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.
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