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

Avery Devin Herzog, LMSW-CC

Individual provider Clinical Social Worker · NPI 1033998588

Avery Devin Herzog, LMSW-CC is a Clinical Social Worker in Bangor, Maine. Licensed in Maine. Registered with an NPI since 2023.

Licensed in
ME
In the registry since
2023

Practice location Address checks out

895 Union St Ste 12
Bangor, ME 04401-3054
Phone: (207) 973-7979
Fax: (207) 947-9579
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence MC22274 (ME)

Record details

NPI number1033998588
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW-CC
Sole proprietorNo
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023

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