Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE LACKIE, PH.D.
Active Sole ProprietorDR. BRUCE LACKIE, PH.D. is a Clinical Social Worker healthcare provider located in ORONO, Maine. NPI 1629189824 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ORONO, ME
Registration Details
- NPI Number
- 1629189824
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.773323938007 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
LC10413 (ME)CW 001208 L (PA)SC-02716 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
56 TAYLOR RDORONO, ME, 044733205Browse ME providers · Browse ZIP 04473
- Phone
- 2078660451
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in ORONO, ME
| Name | Credential | NPI |
|---|---|---|
| MS. LAURA DURHAM ANDERSON | LCSW | 1598985392 |
| MS. SUMMER SUNDERLAND | LCSW | 1801083621 |
| CHELSEA ROSE MUCCIARONE | LMSW-CC | 1407245632 |
| KELLY GAGLIARDO | — | 1083169361 |
| GARRETT A RANDOLPH | L.C.S.W. | 1942712773 |
| DARA K MCINTIRE | LCSW | 1083127617 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.