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

Jon M St Peter, LCSW

Individual provider Clinical Social Worker · NPI 1063944817

Jon M St Peter, LCSW is a Clinical Social Worker in Camden, Maine. Qualified in 2016, 10 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
10
Licensed in
ME
In the registry since
2017
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

21 Elm St Ste 302
Camden, ME 04843-1902
Phone: (207) 491-0502
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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 LC18130 (ME)

Record details

NPI number1063944817
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 31, 2017
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021
Mailing addressPo Box 513, Camden, ME 04843-0513

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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