Active NPIIndividual provider

Amanda Bragg, LCSW

Social Worker, Clinical in Old Town, Maine

NPI Number1578220166
Practice location
242 Brunswick St, Old Town, ME 04468-1613
Fax
207-947-0435
Last updated
May 16, 2025

Amanda Bragg is a Social Worker, Clinical based in Old Town, ME. Amanda Bragg practices in Old Town, ME and has the professional credentials of LCSW. The NPI Number for Amanda Bragg is 1578220166 and holds a License No. C014509 (NC). The current practice location address for Amanda Bragg is 242 Brunswick St, Old Town, ME 04468-1613 and can be reached out via phone at 207-404-8100 and via fax at 207-947-0435.

Provider Profile Details

NPI Number
1578220166
Provider Name
Amanda Bragg
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
242 Brunswick St, Old Town, ME 04468-1613
Phone Number
207-404-8100
Fax Number
207-947-0435
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 18, 2021
Last Update Date
May 16, 2025
Certification Date
May 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
242 Brunswick St
Old Town, ME 04468-1613
State
Maine
Zip
04468-1613
Phone Number
207-404-8100
Fax Number
207-947-0435
Old Town, ME 04468Get directions →

Provider Business Mailing Address Details

Address
Po Box 1599
Bangor, ME 04402-1599
City
Bangor
State
ME
Zip
04402-1599
Phone Number
207-404-8200
Fax Number
207-947-0435

License Information

License Number (1)
C014509
License State (1)
NC
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
LC22692
License State (2)
ME
Taxonomy (2)
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 Amanda Bragg, LCSW?

The NPI number of Amanda Bragg, LCSW is 1578220166. It was assigned on November 18, 2021 and is currently active in the NPPES registry.

What is the specialty of Amanda Bragg, LCSW?

Amanda Bragg, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NC under license number C014509.

Where does Amanda Bragg, LCSW practice?

The practice location is 242 Brunswick St, Old Town, ME 04468-1613. The office can be reached at 207-404-8100 (phone) or 207-947-0435 (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 1578220166 directly on the NPPES registry website.

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