Individual
DR. RAYMOND MICHAEL BELICOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
PO BOX 6432, SCARBOROUGH, ME 04070-6432
(207) 409-3459
Mailing address
PO BOX 6432, SCARBOROUGH, ME 04070-6432
(207) 409-3459
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9597
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048264
MMC PHO
ME
01
—
22-3468319
EMPLOYEE IDENTIFICATION #
ME
05
—
431971099
—
ME
Enumeration date
08/10/2006
Last updated
04/09/2026
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