Timothy Douglas Van Sickle
Timothy Douglas Van Sickle is a Social Worker in Bangor, Maine. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
15 Grant StBangor, ME 04401-3819
Phone: (207) 889-4740
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|---|
| Social Worker | Taxonomy 104100000X |
Record details
| NPI number | 1548056062 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 21, 2025 |
| Last updated in NPPES | April 21, 2025 |
| Certification date | April 10, 2025 |
| Mailing address | 15 Grant St, Bangor, ME 04401-3819 |
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