MEDICARE: MRS. BONNY LU DODSON 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
1	1041C0700X	Clinical Social Worker	LC4142	ME

General Provider Information

NPI Number	:	1548476419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BONNY LU DODSON LCSW

Provider Business Mailing Address
First Line	:	100 ABBOTT LN
Second Line	:
City	:	ETNA
State	:	ME
Zip	:	04434-3041
Country	:	US
Telephone Number	:	207-269-2703
Fax Number	:	207-990-3896

Provider Business Practice Location Address
First Line	:	40 SUMMER ST
Second Line	:
City	:	BANGOR
State	:	ME
Zip	:	04401-6446
Country	:	US
Telephone Number	:	207-947-0366
Fax Number	:	207-990-3896

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	07/09/2007

Similar Medicare Providers

1114070661 — COMMUNITY CARE
Practice Location Address:

40 SUMMER ST
BANGOR, ME
04401-6446

Practice Phone: 207-945-4240
Practice Fax: 207-990-3660

1689706517 — MS. LYNN GITLOW OTR, ATP
Practice Location Address:

34 SUMMER ST STE 2A
BANGOR, ME
04401-6446

Practice Phone: 207-992-9270
Practice Fax:

1659587517 — JONETTE W CHRISTIAN LCPC
Practice Location Address:

40 SUMMER ST
BANGOR, ME
04401-6446

Practice Phone: 207-947-0366
Practice Fax: 207-990-3896

1528275385 — MS. PHYLLIS DARLINGTON HAVENS RD, LCSW
Practice Location Address:

40 SUMMER ST
BANGOR, ME
04401-6446

Practice Phone: 207-990-3896
Practice Fax: 207-990-3896

1508066556 — KARA BRYANT LMSW-CC
Practice Location Address:

40 SUMMER ST
BANGOR, ME
04401-6446

Practice Phone: 207-945-4240
Practice Fax:

1497955017 — HUSSON COLLEGE
Practice Location Address:

34 SUMMER ST STE 2A
BANGOR, ME
04401-6446

Practice Phone: 207-992-9270
Practice Fax: 207-992-9273

Directions to “ MRS. BONNY LU DODSON LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.