Kathryn Landry Gradwell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC10634 Issued in ME

Practice address

38 Falcon Dr
Auburn, ME 04210-4354

Phone

(207) 783-3984

Fax

(207) 784-1358

NPI assigned

Oct 8, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1033444047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 PINE ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406308",
            "telephone_number": "207-344-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 FALCON DR",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104354",
            "telephone_number": "207-783-3984",
            "fax_number": "207-784-1358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Pine St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042406308",
            "country_code": "US",
            "telephone_number": "207-344-9025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRY GRADWELL",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC10634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klandrygradwell1552340@direct-prd.goodhelpconnections.org",
            "affiliation": "N",
            "address_1": "38 Falcon Dr",
            "city": "Auburn",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042104354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly A Labbe Poisson, PHD
• Kelly Lacroix, LMT
• Laurie Lambert, FNP-C
• Lamey Wellehan Inc
• Sarah S Land, OT
• Landry Osteopathic Healthcare PA LLC
• Charles Gerard Landry, DO
• Cynthia Ann Landry, RPH
• Justin Dennis Langis
• Corissa Lynne Laprell, MOT, OTR/L

• Clinical Social Worker in Auburn, ME
• Providers in Auburn, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.