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Active NPI 1376773044 Individual Practitioner Male Practitioner

John W Reidy , LCSW

Social Worker - Clinical • Gorham, ME

Professional Overview & Biography Verified Profile Summary

John Reidy, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Gorham, ME. Practice services are available at 102 GORDON FARMS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

102 Gordon Farms Rd

Gorham, ME 040382389

Telephone 2078930386
Fax 2078932086
Associated Practice Facility / Clinic
🏢 Day One Facility NPI 1164484093

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Gorham, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
29 Specialists

Practicing in Gorham, ME (3792 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License ME LC12053

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Sarah Maxner , LMSW

Social Worker - Clinical

NPI 1013262880

Licensed Master Social Worker

Amelia Petrucci , LMSW-CC

Social Worker - Clinical

NPI 1023901659

LMSWCC

Stephanie Coreau , LCSW

Social Worker - Clinical

NPI 1104252907

Licensed Clinical Social Worker

Howland Bickerstaff , LCPC, LADC, CCS

Counselor - Addiction (Substance Use Disorder)

NPI 1144694894

Licensed Clinical Professional Counselor, Licensed Alcohol and Drug Counselor, Certified Coding Specialist

NPI 1164250437

LCPCCC

NPI 1215890934

LMSWCC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 16, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2009

Registered at 102 GORDON FARMS RD, GORHAM, ME 040382389 (Tel: 2078930386)

📍
Updated Business Mailing Address July 16, 2009

Registered at PO BOX 1360, WINDHAM, ME 040621360 (Tel: 2078930386)

👤
Provider Name / Credentials Updated July 16, 2009

Recorded as JOHN REIDY, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2009

Social Worker (License #LC12053 in ME)

🟢
Initial NPI Registration & Enumeration July 16, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376773044
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2009
Last Update: July 16, 2009
Sole Proprietor: Yes

Mailing Address

Po Box 1360

Windham, ME 040621360

Phone: 2078930386

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.