Active NPIIndividual provider

Kristen Bouse, LCSW

Social Worker, Clinical in Portland, Maine

NPI Number1295820140
Practice location
343 Forest Ave, Portland, ME 04101
Fax
207-874-1044
Last updated
May 11, 2009

Kristen Bouse is a Social Worker, Clinical based in Portland, ME. Kristen Bouse practices in Portland, ME and has the professional credentials of LCSW. The NPI Number for Kristen Bouse is 1295820140 and holds a License No. LC10053 (ME). The current practice location address for Kristen Bouse is 343 Forest Ave, Portland, ME 04101 and can be reached out via phone at 207-874-1030 and via fax at 207-874-1044.

Provider Profile Details

NPI Number
1295820140
Provider Name
Kristen Bouse
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
343 Forest Ave, Portland, ME 04101
Phone Number
207-874-1030
Fax Number
207-874-1044
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 4, 2006
Last Update Date
May 11, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
343 Forest Ave
Portland, ME 04101
State
Maine
Zip
04101
Phone Number
207-874-1030
Fax Number
207-874-1044
Portland, ME 04101Get directions →

Provider Business Mailing Address Details

Address
343 Forest Ave
Portland, ME 04101
City
Portland
State
ME
Zip
04101
Phone Number
207-874-1030
Fax Number
207-874-1044

License Information

License Number (1)
LC10053
License State (1)
ME
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
LC10053
License State (2)
ME
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · 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 Kristen Bouse, LCSW?

The NPI number of Kristen Bouse, LCSW is 1295820140. It was assigned on October 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Kristen Bouse, LCSW?

Kristen Bouse, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC10053.

Where does Kristen Bouse, LCSW practice?

The practice location is 343 Forest Ave, Portland, ME 04101. The office can be reached at 207-874-1030 (phone) or 207-874-1044 (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 1295820140 directly on the NPPES registry website.

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