Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Petterson, LCSW

Individual provider Social Worker · NPI 1073156444

Alexis Petterson, LCSW is a Social Worker in Bangor, Maine. Licensed in Maine. Registered with an NPI since 2019.

Licensed in
ME
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

42 Cedar St
Bangor, ME 04401-6433
Phone: (207) 922-4600
Fax: (207) 564-3975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence MC18211 (ME)

Record details

NPI number1073156444
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 18, 2019
Last updated in NPPESNovember 11, 2021
Certification dateOctober 28, 2021
Mailing address42 Cedar St, Bangor, ME 04401-6433

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