MARY CAROL KENNEDY I (NPI# 1720264336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720264336 |
| Entity Type | Individual |
| Full Name | MARY CAROL KENNEDY I |
| Credential | MSW, LCSW, CCS, LADC |
| Practice Address |
23 Water St Suite 7 Saco ME 04072-5119 |
| Mailing Address |
4 Scammon St Suite 19-181 Saco ME 04072-5121 |
| Practice Telephone | 2072841173 |
| Mailing Telephone | 2072841173 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LC3972 | ME | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC4943 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM | 200938 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336418169 | Mary Katherine Kennedy | Developmental Therapist | 10727 Burr Oak Way, Burke, VA 22015-2414 | 2011-12-22 |
| 1568635738 | Mary A Kennedy | Speech-Language Pathologist | 1801 Alfresco Pl, Louisville, KY 40205-1807 | 2008-04-09 |
| 1518095660 | Mary S. Kennedy | Social Worker | 16 Fayette St, Cambridge, MA 02139-1112 | 2007-03-01 |
| 1053455568 | Mary Kathleen Kennedy | Speech-Language Pathologist | 1613 Ginger Dr, Hideaway, TX 75771-5311 | 2007-02-16 |
| 1578656716 | Mary Kennedy | Nurse Practitioner | 105 E Hack St, Cullom, IL 60929 | 2006-10-02 |
| 1093821894 | Mary Kathryn Kennedy | Nurse Anesthetist, Certified Registered | 1845 S Fm 51 Unit A-2, Decatur, TX 76234-3764 | 2006-08-22 |
| 1992750517 | Mary Kay Kennedy | Social Worker | 363 South Harlan Street, Suite 200, Denver, CO 80226-3552 | 2006-05-23 |
| 1972563757 | Mary M Kennedy | Social Worker | 181 W Professional Park Ct, Suite 1, Bowling Green, KY 42104-3250 | 2006-03-24 |
| 1861479636 | Mary Theresa Kennedy | Psychologist | 217-04 Northern Blvd, Ste 16, Bayside, NY 11361-3500 | 2005-12-22 |
| 1518471226 | Mary Kennedy | Counselor | 1010 Remington Plz, Raymore, MO 64083-8640 | 2017-11-17 |
| Street Address |
23 WATER ST SUITE 7 |
| City | SACO |
| State | ME |
| Zip Code | 04072-5119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891970778 | Ellen Nelson | Social Worker | 23 Water St, Ste 3, Saco, ME 04072-5119 | 2008-01-09 |
| 1174736482 | Mark Deming Britten | Dentist | 23 Water St, Saco, ME 04072-5119 | 2007-05-07 |
| 1295959716 | Michelle Fortier-oosterman | Social Worker | 23 Water St, Saco, ME 04072-5119 | 2007-04-13 |
| 1871624791 | Pamela Ann Tourangeau | Counselor | 23 Water St, Suite 7, Saco, ME 04072-5119 | 2007-03-09 |
| 1659438331 | Gail Marie Libby | Social Worker | 23 Water St, Saco, ME 04072-5119 | 2007-01-02 |
| 1215013875 | Ronald G. Houle | Counselor | 23 Water St, Saco, ME 04072-5119 | 2006-10-27 |
| 1831107580 | Joyce K. Thompson | Counselor | 23 Water St, Saco, ME 04072-5119 | 2006-08-04 |
| 1548295918 | Gregory P Dumas | Social Worker | 23 Water St, Suite 4 Saco Bay Counseling, Saco, ME 04072-2724 | 2006-07-12 |
| 1750327755 | Ben J Nappi | Psychologist | 23 Water St, Ste 4, Saco, ME 04072-5119 | 2006-06-20 |
| 1447200324 | Adam L. Dubay | Counselor | 23 Water St, Suite 3, Saco, ME 04072-5119 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962043786 | Maine Safe Ride Services | Non-emergency Medical Transport (VAN) | 32 Water St, Suite 4, Saco, ME 04072 | 2019-10-02 |
| 1821656810 | Rebecca Akins | Occupational Therapist | Mainely Kidz Pt, 895 Portland Rd., Saco, ME 04072 | 2019-06-04 |
| 1376045070 | Ashley A Cardurns | Nurse Practitioner | 15 Moody St, Saco, ME 04072 | 2018-03-08 |
| 1861990103 | Morgan Dube | Specialist/Technologist | 21 Evergreen Dr, Saco, ME 04072 | 2018-01-31 |
| 1639603004 | Jodi Morris | Massage Therapist | 10 School Street 2nd Floor, Saco, ME 04072 | 2017-04-12 |
| 1073812665 | Elisabeth Geralyn Holdsworth | Specialist | 895 Portland Road, Saco, ME 04072 | 2011-03-22 |
| 1336378181 | Ah Inn Associates LLC | Assisted Living Facility | 100 Harbor Drive, Saco, ME 04072 | 2009-07-14 |
| 1326286634 | Bambi Morgan Delattre | Counselor | 655 Maine Street, Saco, ME 04072 | 2009-01-23 |
| 1215054143 | Meret Claudia Bainbridge | Acupuncturist | 35 Storer St, Saco, ME 04072 | 2007-03-24 |
| 1023104155 | Lynne M Tetreault | Pediatrics | 5 Scamman St., Saco, ME 04072 | 2006-10-05 |
| Find all providers in zip 04072 | ||||
| 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 |
|---|---|---|---|---|
| 1629687454 | Rebekah Jean Hadiaris | Social Worker | 5 Hadiaris Ln, Saco, ME 04072-1669 | 2020-07-28 |
| 1245770304 | Mackenzie Lamoureux | Social Worker | 169 Smutty Ln, Saco, ME 04072-9718 | 2017-03-08 |
| 1992089395 | Thomas Earl Dinsmore | Social Worker | 209 Main St Ste 302&303, Saco, ME 04072-1566 | 2011-10-04 |
| 1851607139 | Rhoda Jean Richardson | Social Worker | 25 Rotary Dr, Saco, ME 04072-9500 | 2010-08-25 |
| 1225279748 | Michele Lee Savage | Social Worker | 110 Main St Ste 1400, Saco, ME 04072-3504 | 2009-03-12 |
| 1578722351 | Anne Savona Lcsw Pa | Social Worker | 9 Beach Street, Saco, ME 04072-2801 | 2008-06-05 |
| 1376711200 | Julie M Herrick | Social Worker | 56 Industrial Park Rd, Suite 1 & 2, Saco, ME 04072-1878 | 2008-02-13 |
| 1164619490 | Dolores Despres | Social Worker | 22 Sunrise Ave, Saco, ME 04072-2327 | 2007-10-01 |
| 1740322155 | Kathleen Grondin St. James | Social Worker | 19 Common St, Saco, ME 04072-3302 | 2007-02-13 |
| 1669518478 | Janice A Black | Social Worker | 74 Beach St, Saco, ME 04072-2812 | 2007-01-29 |
| Find all providers in SACO | ||||
Please comment or provide details below to improve the information on MARY CAROL KENNEDY I.
| 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.