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

Dr. Bruce Lackie, PHD

Individual provider Clinical Social Worker · NPI 1629189824

Dr. Bruce Lackie, PHD is a Clinical Social Worker in Orono, Maine. Qualified in 1971, 55 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Maine, New Jersey and Pennsylvania.

Years since qualifying
55
Licensed in
ME, NJ, PA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

56 Taylor Rd
Orono, ME 04473-3205
Phone: (207) 866-0451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC10413 (ME)
Clinical Social Worker Taxonomy 1041C0700X · Licence CW 001208 L (PA)
Clinical Social Worker Taxonomy 1041C0700X · Licence SC-02716 (NJ)

Record details

NPI number1629189824
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007
Mailing address56 Taylor Rd, Orono, ME 04473-3205

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1971 (55 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Orono