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

Individual provider Clinical Social Worker · NPI 1710011424

Mr. Richard Alan Waitzkin, MSWLCSW is a Clinical Social Worker in Portland, Maine. Qualified in 1982, 44 years ago. Accepts Medicare assignment. Licensed in Maine.

Years since qualifying
44
Licensed in
ME
In the registry since
2007
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Practice location Address checks out

12 Gay St
Portland, ME 04103
Phone: (207) 774-5025
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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 LC1096 (ME)

Record details

NPI number1710011424
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWLCSW
Sole proprietorNo
NPI enumeratedMarch 15, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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