IndividualActive
Alexis Petterson, LCSW
NPI 1073156444 · Social Worker · Bangor, ME
Provider details
- NPI number
- 1073156444
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- MC18211 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
42 Cedar St
Bangor, ME 04401-6433
Phone: (207) 922-4600
Fax: (207) 564-3975
Approximate (ZIP-level) locationGet directions
Mailing address
42 Cedar St
Bangor, ME 04401-6433
Registry dates
- Enumerated
- 2019-10-18
- Last updated
- 2021-11-11
- Certified
- 2021-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.