Active NPIIndividual provider

Kayla Blackborow, LCSW

Social Worker, Clinical in Portland, Maine

NPI Number1427776210
Practice location
576 Saint John St, Portland, ME 04102-2710
Fax
207-536-6720
Last updated
December 12, 2024

Kayla Blackborow is a Social Worker, Clinical based in Portland, ME. Kayla Blackborow practices in Portland, ME and has the professional credentials of LCSW. The NPI Number for Kayla Blackborow is 1427776210 and holds a License No. 228110 (MA). The current practice location address for Kayla Blackborow is 576 Saint John St, Portland, ME 04102-2710 and can be reached out via phone at 207-661-0700 and via fax at 207-536-6720.

Provider Profile Details

NPI Number
1427776210
Provider Name
Kayla Blackborow
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
576 Saint John St, Portland, ME 04102-2710
Phone Number
207-661-0700
Fax Number
207-536-6720
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 17, 2022
Last Update Date
December 12, 2024
Certification Date
December 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
576 Saint John St
Portland, ME 04102-2710
State
Maine
Zip
04102-2710
Phone Number
207-661-0700
Fax Number
207-536-6720
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
576 Saint John St
Portland, ME 04102-2710
City
Portland
State
ME
Zip
04102-2710
Phone Number
207-661-0700

License Information

License Number (1)
228110
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
LC23814
License State (2)
ME
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary
License Number (3)
LC8564
License State (3)
ME

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 Kayla Blackborow, LCSW?

The NPI number of Kayla Blackborow, LCSW is 1427776210. It was assigned on August 17, 2022 and is currently active in the NPPES registry.

What is the specialty of Kayla Blackborow, LCSW?

Kayla Blackborow, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 228110.

Where does Kayla Blackborow, LCSW practice?

The practice location is 576 Saint John St, Portland, ME 04102-2710. The office can be reached at 207-661-0700 (phone) or 207-536-6720 (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 1427776210 directly on the NPPES registry website.

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