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KIMBERLY AUSTIN LCSW NPI 1588677603


NPI Information

NPI: 1588677603
Provider Name: KIMBERLY AUSTIN, LCSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
343 FOREST AVE
PORTLAND, ME
ZIP 04101
Phone: (207) 874-1030
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Kimberly Austin, LCSW is a social worker in Portland, ME. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Kimberly Austin, LCSW NPI is 1588677603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

343 FOREST AVE
PORTLAND, ME
ZIP 04101-006
Phone: (207) 874-1030
Fax: (207) 874-1044

The enumeration date for this NPI number is 8/14/2006 and was last updated on 4/23/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorLC10159MAINENo
2101YM0800XCounselorMental HealthLC10159MAINENo
3106H00000XMarriage & Family TherapistLC10159MAINENo
4104100000XSocial WorkerLC10159MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1104760100MEDICAIDMAINE
2MM3722MEDICARE ID-TYPE UNSPECIFIEDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.