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NPI Code Detail

MEDICARE: CATHERINE ROSE MIKOWSKI LCSW

MEDICARE:   CATHERINE ROSE MIKOWSKI  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLC16133ME

General Provider Information

NPI Number : 1265853949
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE ROSE MIKOWSKI LCSW
Provider Business Mailing Address
First Line : 333 GROVE ST
Second Line :
City : BANGOR
State : ME
Zip : 04401-3963
Country : US
Telephone Number : 231-645-5069
Fax Number :
Provider Business Practice Location Address
First Line : 333 GROVE ST
Second Line :
City : BANGOR
State : ME
Zip : 04401-3963
Country : US
Telephone Number : 231-645-5069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2013
Last Update Date : 03/05/2026

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Directions to “ CATHERINE ROSE MIKOWSKI LCSW” Practice Location

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