Individual provider Active NPI

Kathleen Harvey, LCSW

  • Clinical Social Worker
  • Farmington, ME
National Provider Identifier
1033549357
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC18476 Issued in ME
Practice address
115 Mt Blue Cir
Farmington, ME 04938-6276
Phone
(207) 660-4549
Fax
(207) 660-4529
NPI assigned
Nov 22, 2013
Last updated
Jun 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC18476 ME Primary

Addresses

Primary practice location

115 Mt Blue Cir
Farmington, ME 04938-6276

Mailing address

1604 Benton Ave
Benton, ME 04901-3327
Phone (207) 453-4708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kennebec Valley Mental Health Center Multi-Specialty CurrentSince Jun 8, 2020 Accepting new patients

Locations

115 Mt Blue Cir
Farmington, ME 04938
Phone (207) 778-9664

67 Eustis Pkwy
Waterville, ME 04901
Phone (207) 660-4549

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1033549357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 BENTON AVE",
            "city": "BENTON",
            "state": "ME",
            "postal_code": "049013327",
            "telephone_number": "207-453-4708",
            "fax_number": "207-238-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MT BLUE CIR",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386276",
            "telephone_number": "207-660-4549",
            "fax_number": "207-660-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC18476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, ME

Sources for this page

Verify at the official NPI Registry.