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

Mr. John R. Jaksa, LCSW

Individual provider Clinical Social Worker · NPI 1306917802

Mr. John R. Jaksa, LCSW 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?
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

42 Cedar St
Bangor, ME 04401-6433
Phone: (207) 947-0366
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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 LC5902 (ME)

Record details

NPI number1306917802
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESJuly 9, 2007

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