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

Roy Ulrickson III, LCSW

Individual provider Clinical Social Worker · NPI 1902279821

Roy Ulrickson III, LCSW is a Clinical Social Worker in Bangor, Maine. Licensed in Maine. Registered with an NPI since 2015.

Licensed in
ME
In the registry since
2015
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

33 Penn Plz
Bangor, ME 04401-3619
Phone: (207) 881-6283
Fax: (207) 881-6285
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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 LC18009 (ME)
Clinical Social Worker Taxonomy 1041C0700X · Licence CCS8285 (ME)

Record details

NPI number1902279821
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 2, 2015
Last updated in NPPESFebruary 22, 2026
Certification dateFebruary 22, 2026
Mailing address33 Penn Plz, Bangor, ME 04401-3619

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