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

Individual provider Social Worker · NPI 1932761236

Mary Therese Moynihan, LCSW is a Clinical Social Worker in Bangor, Maine. Qualified in 2019, 7 years ago. Practices with Acadia Hospital Corp, a 86-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
7
Licensed in
ME
In the registry since
2019
Specialties on file
2
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

268 Stillwater Ave
Bangor, ME 04401-3945
Phone: (207) 973-6100
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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 LC20176 (ME)
Social Worker Taxonomy 104100000X · Licence MC18123 (ME)

Record details

NPI number1932761236
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 8, 2019
Last updated in NPPESOctober 20, 2021
Certification dateOctober 20, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Acadia Hospital Corp. — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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