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Contact Information

KIMBERLY AUSTIN, LCSW
343 FOREST AVE
PORTLAND, ME04101-2006
 Phone: 207-874-1030
 Fax: 207-874-1044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Counselor

101Y00000X
 

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for KIMBERLY AUSTIN · (Female)

NPI Number 1588677603
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/14/2006
Last updated 04/23/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • ME License # LC10159
  • ME Medicaid 104760100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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