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Contact Information

AMANDA BRAGG, LCSW
242 BRUNSWICK ST
OLD TOWN, ME04468-1613
 Phone: 207-404-8100
 Fax: 207-947-0435
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for AMANDA BRAGG · (Female)

NPI Number 1578220166
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 11/18/2021
Last updated 05/16/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ME License # LC22692
  • NC License # C014509
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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