Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Maine Psychotherapy LLC

Organization Clinical Social Worker · NPI 1164299194

Southern Maine Psychotherapy LLC provides Clinical Social Worker services in Scarborough, Maine. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Mussey Rd
Scarborough, ME 04074-9570
Phone: (207) 200-5621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1164299194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Johnston — Provider/Owner · (207) 200-5621
NPI enumeratedDecember 11, 2023
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address20 Mussey Rd, Scarborough, ME 04074-9570

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