MS. KIMBERLY JO PLOURDE (NPI# 1134379381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134379381 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY JO PLOURDE |
| Credential | LCSW |
| Practice Address |
12 Addison St Lisbon Falls ME 04252-1731 |
| Practice Telephone | 2077400835 |
| Practice Fax Number | 2073531628 |
| Mailing Telephone | 2077400835 |
| Mailing Fax Number | 2073531628 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC11517 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467509315 | Kimberly Plourde | Emergency Medicine | 555 Hartsville Pike, Gallatin, TN 37066-2400 | 2007-01-04 |
| Street Address |
12 ADDISON ST |
| City | LISBON FALLS |
| State | ME |
| Zip Code | 04252-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093144974 | Denys Lynn Robertson | Occupational Therapist | 714 Lisbon St, Lisbon Falls, ME 04252 | 2013-11-01 |
| 1912022351 | Phillip A Carter | Family Medicine | 583 Lisbon Rd., Lisbon Falls, ME 04252 | 2007-03-21 |
| 1942443056 | Ashley Michelle Wood | Massage Therapist | 16 Main St, Lisbon Falls, ME 04252 | 2009-04-20 |
| 1801028428 | Jeffrey F Charest | Pharmacist | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2009-08-15 |
| 1417028796 | Rite Aid of Maine Inc | Durable Medical Equipment & Medical Supplies | 575 Lisbon Street, Lisbon Falls, ME 04252-1114 | 2006-11-10 |
| 1831701747 | Justin William Richards | Pharmacist | 575 Lisbon St, Lisbon, ME 04252-1114 | 2020-08-21 |
| 1932624939 | Walgreen Co | Pharmacy | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2017-08-10 |
| 1245784891 | William Torrey Collinson | Pharmacist | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2016-08-12 |
| 1508310871 | Tyson Fredriksen | Pharmacist | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2016-08-04 |
| 1063898419 | Charles Cooper | Pharmacist | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2015-08-08 |
| Find all providers in zip 04252 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578457 | Julia L Orr | Social Worker | 20 Cheverus Rd, Cape Elizabeth, ME 04107-1204 | 2020-11-06 |
| 1265032957 | Randy Neblett | Social Worker | 104 Main St Unit 1105, Blue Hill, ME 04614-1743 | 2020-10-30 |
| 1871100867 | Purely Spirit Holistic Health, LLC | Social Worker | 226 Stevens Ave Apt 9, Portland, ME 04102-2263 | 2020-09-24 |
| 1831704964 | Cary Rae Millbury | Social Worker | 16 Middle Street, Farmington, ME 04938 | 2020-09-15 |
| 1508471095 | Tighe Blackadar | Social Worker | 46 Evans Rd, Bridgton, ME 04009-3957 | 2020-09-10 |
| 1245845130 | Crescent Psychotherapy | Social Worker | 168 Neal St, Portland, ME 04102-3343 | 2020-09-09 |
| 1295348894 | Alicyn Faythe Romprey | Social Worker | 5 Bragdon Ln, Kennebunk, ME 04043-7262 | 2020-08-25 |
| 1639781354 | Inner Knowing Clinical Therapy LLC | Social Worker | 117 Brown Rd, Durham, ME 04222-5213 | 2020-08-24 |
| 1629687454 | Rebekah Jean Hadiaris | Social Worker | 5 Hadiaris Ln, Saco, ME 04072-1669 | 2020-07-28 |
| 1699383315 | Tracy Flagg | Social Worker | Sacopee Valley Middle School, 137 South Hiram Rd, Hiram, ME 04041 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
| City | LISBON FALLS |
| Zip Code | 04252 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.