Provider Demographics
NPI:1851984751
Name:SAKOWSKI, BRIDGET A (LCSW)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:A
Last Name:SAKOWSKI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SUZANNE ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-4606
Mailing Address - Country:US
Mailing Address - Phone:603-395-3687
Mailing Address - Fax:
Practice Address - Street 1:15 SUZANNE ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-4606
Practice Address - Country:US
Practice Address - Phone:603-395-3687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-11
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical