Individual
GREGORY BENJAMIN PERCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
23 OCEAN AVE, PORTLAND, ME 04103-5740
(207) 730-6340
(207) 842-7773
Mailing address
23 OCEAN AVE, PORTLAND, ME 04103-5740
(207) 730-6340
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC14666
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7931308
—
MA
Enumeration date
06/07/2010
Last updated
01/08/2026
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