KIMBERLY AUSTIN (NPI# 1588677603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588677603 |
| Entity Type | Individual |
| Full Name | KIMBERLY AUSTIN |
| Credential | LCSW |
| Practice Address |
343 Forest Ave Portland ME 04101-2006 |
| Practice Telephone | 2078741030 |
| Practice Fax Number | 2078741044 |
| Mailing Telephone | 2078741030 |
| Mailing Fax Number | 2078741044 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2013-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | LC10159 | ME | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LC10159 | ME | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | LC10159 | ME | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | LC10159 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 104760100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390153 | Kimberly A Austin | Behavioral Analyst | 2 Cloverwood Ct Unit 302, Essex, MD 21221-7366 | 2020-06-10 |
| 1962997809 | Kimberly Austin | Massage Therapist | 9915 Fair Oaks Blvd Ste D, Fair Oaks, CA 95628-7433 | 2018-06-23 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1346498821 | Kimberly Jolene Austin | Counselor | 3604 N 10th St, Ocean Springs, MS 39564-9485 | 2008-09-09 |
| 1639526726 | Kimberly L Austin | Clinical Nurse Specialist | 2420 Wycon Dr, Suite 403, Waco, TX 76712-8987 | 2016-05-18 |
| 1568721967 | Kimberly Austin | Counselor | 359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261 | 2012-05-07 |
| 1144556556 | Kimberly Arianne Austin | Psychologist | 6296 Fly Rd, East Syracuse, NY 13057-9333 | 2009-10-20 |
| 1780719187 | Kimberly Michelle Austin | Registered Nurse | 1041 E Sullivan St, Kingsport, TN 37660 | 2007-02-23 |
| 1730299066 | Kimberly Bradshaw Austin | Family Medicine | 300 Polaris Pkwy, Suite 3000, Westerville, OH 43082-7989 | 2006-08-30 |
| Street Address |
343 FOREST AVE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508357112 | Samantha C Stern | Physician Assistant | 343 Forest Ave, Portland, ME 04101-2006 | 2018-05-21 |
| 1104212182 | Liberty Bay Recovery Center | Clinic/Center | 343 Forest Ave, Portland, ME 04101-2006 | 2015-04-07 |
| 1245548361 | Jill Paperno Standish | Social Worker | 343 Forest Ave, Portland, ME 04101-2006 | 2010-09-23 |
| 1629203666 | Gregory Morin | Social Worker | 343 Forest Ave, Portland, ME 04101-2006 | 2009-05-20 |
| 1477788545 | Debra Barth | Social Worker | 343 Forest Ave, Portland, ME 04101-2006 | 2009-05-19 |
| 1831324920 | John Daniel Lichtman | Social Worker | 343 Forest Ave, Portland, ME 04101-2006 | 2009-05-19 |
| 1780849992 | Sheila A Frank | Counselor | 343 Forest Ave, Portland, ME 04101-2006 | 2008-07-28 |
| 1346378197 | Brett Russman | Social Worker | 343 Forest Ave, Portland, ME 04101-2006 | 2007-03-02 |
| 1972631620 | Hannah Curtis | Social Worker | 343 Forest Ave, Portland, ME 04101-2006 | 2007-03-02 |
| 1215081484 | Paula Webster | Social Worker | 343 Forest Ave, Portland, ME 04101-2006 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980389 | Shayla Lee Adkins | Social Worker | 5530 Se 72nd Ave, Portland, OR 97206-5207 | 2020-10-24 |
| 1386242154 | Michael Harris | Social Worker | 87 Glenwood Ave, Portland, ME 04103-3128 | 2020-10-14 |
| 1245844141 | Dane Hilts | Social Worker | 5524 Se Hawthorne Blvd, Portland, OR 97215-3368 | 2020-09-08 |
| 1073131462 | Corinne J Allen | Social Worker | 14678 Nw Cornell Rd Apt 52, Portland, OR 97229-7407 | 2020-07-11 |
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1376168906 | Connor Brown | Social Worker | 738 Ne Davis St, Portland, OR 97232-2931 | 2020-06-09 |
| 1770110041 | Oriana Korol | Social Worker | 811 Ne 92nd Ave, Portland, OR 97220-4513 | 2020-03-25 |
| 1366080988 | Matthew Emerson Schultz | Social Worker | 314 Sw 9th Ave, Portland, OR 97205-2802 | 2019-12-13 |
| 1831749985 | Rachel Petke | Social Worker | 2800 N Vancouver Ave Ste 207, Portland, OR 97227-1630 | 2019-09-19 |
| 1639722390 | Jenna Su Morgan Wing | Social Worker | 905 Sw Cedar Hills Blvd Apt 1312, Portland, OR 97225-5772 | 2019-07-22 |
| Find all providers in PORTLAND | ||||
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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.