Healthcare Provider Details

I. General information

NPI: 1821296823
Provider Name (Legal Business Name): CHERYL BARRETT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHERYL A. BARRETT LCSW

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 STATE ST
BANGOR ME
04401-5112
US

IV. Provider business mailing address

41 N DEXTER RD
SANGERVILLE ME
04479-3300
US

V. Phone/Fax

Practice location:
  • Phone: 800-455-8726
  • Fax: 866-455-8839
Mailing address:
  • Phone: 800-455-8726
  • Fax: 866-455-8839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number115858
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC23811
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: