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

Gary Greenlaw, LICSW

Individual provider Clinical Social Worker · NPI 1467554253

Gary Greenlaw, LICSW is a Clinical Social Worker in Bangor, Maine. Licensed in Maine. Registered with an NPI since 2006.

Licensed in
ME
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

656 State St
Bangor, ME 04401-5609
Phone: (207) 941-4036
Fax: (207) 941-4062
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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 LC1548 (ME)

Record details

NPI number1467554253
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 2, 2006
Last updated in NPPESJuly 8, 2007

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