Stanley O Pettegrow, LCSW
Stanley O Pettegrow, LCSW is a Clinical Social Worker in Old Town, Maine. Qualified in 2005, 21 years ago. Practices with Penobscot Community Health Center, a 132-clinician group and accepts Medicare assignment. Licensed in Maine.
- Years since qualifying
- 21
- 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.
Practice location Address checks out
242 Brunswick StOld Town, ME 04468-1613
Phone: (207) 827-6128
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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 LC11074 (ME) |
|---|
Record details
| NPI number | 1487674859 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW |
| Sole proprietor | No |
| NPI enumerated | July 20, 2006 |
| Last updated in NPPES | May 5, 2021 |
| Certification date | May 5, 2021 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Penobscot Community Health Center — 132 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Old Town
-
Jordan D Henry, LCSW
27 Pine St Apt 1, Old Town, ME 04468-1711 · (207) 478-9484
-
Frank N McKnight, LCSW
242 Brunswick St, Old Town, ME 04468-1613 · (207) 827-6128
-
Terry L Melanson, LCSW
242 Brunswick St, Old Town, ME 04468 · (207) 945-5247
-
Christine Ann Crittenden Richard, LCSW
242 Brunswick St, Old Town, ME 04468-1613 · (207) 827-6128
-
Emma April Richford
253 4th St, Old Town, ME 04468-1428 · (207) 991-4568
-
Abigail Zier
1123 Main St Apt D1, Old Town, ME 04468-2022 · (207) 481-6681