Roy Ulrickson III, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC18009 Issued in ME

Practice address

33 Penn PLZ
Bangor, ME 04401-3619

Phone

(207) 881-6283

Fax

(207) 881-6285

NPI assigned

Nov 2, 2015

Last updated

Feb 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771718400000",
    "number": "1902279821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PENN PLZ",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013619",
            "telephone_number": "207-881-6283",
            "fax_number": "207-881-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PENN PLZ",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013619",
            "telephone_number": "207-881-6283",
            "fax_number": "207-881-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICKSON",
        "first_name": "ROY",
        "name_suffix": "III",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "CCS8285",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC18009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ucp of Northeastern Maine
• Ucp of Northeastern Maine
• Sharath Udaya Kumar, MD
• Melvin Anyango Uhuru
• David C Ulrich, FNPC
• Justin James Umel, LCSW
• Affan Umer, M.B.B.S
• Kalinda Cecile Umugabekazi
• Janel Underwood-Charette, LCSW
• Timothy Unger

• Clinical Social Worker in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.