IndividualActive
Douglas Patrick, LCSW, JD
NPI 1336440973 · Clinical Social Worker · Freeport, ME
Provider details
- NPI number
- 1336440973
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, JD
- Sex
- Male
- Sole proprietor
- Yes
- License
- LC7181 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
52 Tranquil Ln
Freeport, ME 04032-6905
Phone: (207) 865-3560
Approximate (ZIP-level) locationGet directions
Mailing address
52 Tranquil Ln
Freeport, ME 04032-6905
Registry dates
- Enumerated
- 2010-11-13
- Last updated
- 2022-08-30
- Certified
- 2022-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.