Active NPIIndividual provider

Kimberly A Burgess, LSW-C, BHP

Social Worker in Ellsworth, Maine

NPI Number1215238431
Practice location
23 Carriage Way, Ellsworth, ME 04605
Fax
207-667-0171
Last updated
November 4, 2010

Kimberly Ann Burgess is a Social Worker based in Ellsworth, ME. Kimberly Ann Burgess practices in Ellsworth, ME and has the professional credentials of LSW-C, BHP. The NPI Number for Kimberly Ann Burgess is 1215238431 and holds a License No. lsx12393 (ME). The current practice location address for Kimberly Ann Burgess is 23 Carriage Way, Ellsworth, ME 04605 and can be reached out via phone at 207-667-3239 and via fax at 207-667-0171.

Provider Profile Details

NPI Number
1215238431
Provider Name
Kimberly Ann Burgess
Credential
LSW-C, BHP
Provider Entity Type
Individual
Gender
Female
Address
23 Carriage Way, Ellsworth, ME 04605
Phone Number
207-667-3239
Fax Number
207-667-0171
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
November 4, 2010
Last Update Date
November 4, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
23 Carriage Way
Ellsworth, ME 04605
State
Maine
Zip
04605
Phone Number
207-667-3239
Fax Number
207-667-0171
Ellsworth, ME 04605Get directions →

Provider Business Mailing Address Details

Address
Po Box 1373
Ellsworth, ME 04605-1373
City
Ellsworth
State
ME
Zip
04605-1373
Phone Number
207-667-3239
Fax Number
207-667-0171

License Information

License Number
lsx12393
License State
ME
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly A Burgess, LSW-C, BHP?

The NPI number of Kimberly A Burgess, LSW-C, BHP is 1215238431. It was assigned on November 4, 2010 and is currently active in the NPPES registry.

What is the specialty of Kimberly A Burgess, LSW-C, BHP?

Kimberly A Burgess, LSW-C, BHP is registered under the primary taxonomy Social Worker (code 104100000X), licensed in ME under license number lsx12393.

Where does Kimberly A Burgess, LSW-C, BHP practice?

The practice location is 23 Carriage Way, Ellsworth, ME 04605. The office can be reached at 207-667-3239 (phone) or 207-667-0171 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215238431 directly on the NPPES registry website.

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