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

Larry P Bolster, LCSW

Individual provider Clinical Social Worker · NPI 1326149725

Larry P Bolster, LCSW is a Clinical Social Worker in Bangor, Maine. Qualified in 2003, 23 years ago. Practices with Penobscot Community Health Center, a 132-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
23
Licensed in
ME
In the registry since
2006
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

86 Davis Rd
Bangor, ME 04401
Phone: (207) 992-2205
Fax: (207) 992-2207
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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 LC9963 (ME)

Record details

NPI number1326149725
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Penobscot Community Health Center — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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