Stanley Pettegrow, LCSW
NPI 1487674859 · Clinical Social Worker · Old Town, ME
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stanley Pettegrow, LCSW is a Clinical Social Worker provider in Old Town, ME (NPI 1487674859).
Provider details
- NPI number
- 1487674859
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- LC11074 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2021-05-05
- Certified
- 2021-05-05
Frequently asked questions
- What is Stanley Pettegrow's NPI number?
- Stanley Pettegrow's National Provider Identifier (NPI) is 1487674859, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stanley Pettegrow's specialty?
- Stanley Pettegrow is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Stanley Pettegrow located?
- Stanley Pettegrow's practice location on file with NPPES is 242 Brunswick St, Old Town, ME 04468-1613.
- What is Stanley Pettegrow's phone number?
- The practice phone number listed in the NPPES registry for Stanley Pettegrow is (207) 827-6128.
- Does Stanley Pettegrow accept Medicare?
- Stanley Pettegrow is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stanley Pettegrow's NPI active?
- Yes — Stanley Pettegrow's NPI (1487674859) is active in the NPPES registry as of the last update on 2021-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.