Kimberly Trahan, LCSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

217506 Issued in MA

Practice address

708 Middle Rd
Acushnet, MA 02743-1409

Phone

(774) 929-0001

NPI assigned

Apr 17, 2021

Last updated

Apr 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1073194445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ELAINE WAY",
            "city": "ACUSHNET",
            "state": "MA",
            "postal_code": "027431624",
            "telephone_number": "774-929-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 MIDDLE RD",
            "city": "ACUSHNET",
            "state": "MA",
            "postal_code": "027431409",
            "telephone_number": "774-929-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAHAN",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "217506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Souza, MSOT, OTR/L
• Erin Beth Starodub
• The Playful Place for All, LLC.
• Town of Acushnet
• Town of Acushnet (Acushnet Emergency Medical Service)
• Ethan Tripp
• Talia Pearl Vurpillatte, BSW
• Kerry Lynn Walsh
• Olivia Hope Whalen, RBT
• David Bradley Wood

• School Social Worker in Acushnet, MA
• Providers in Acushnet, MA by specialty
• School Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; 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.