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Contact Information

KIMBERLY BERRY, LMSW-CC
2 SPRINGBROOK DR
BIDDEFORD, ME04005-9443
 Phone: 207-282-1500
 Fax: 207-282-2581
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KIMBERLY BERRY · (Female)

NPI # 1659608792
Status Active
Credentials LMSW-CC
Entity Individual
Enumeration date 11/11/2009
Last updated 11/01/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • ME License # MC12040
  • ME Medicaid 434971299
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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