Kim Decarlo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC25368 Issued in ME

Practice address

15 Main St Ste 14
Freeport, ME 04032-1100

Phone

(207) 200-1096

NPI assigned

Jul 27, 2023

Last updated

Aug 10, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Odyssey Counseling and Therapy LLC

  • Clinical Social Worker
  • Freeport, ME
  • NPI 1760359897
  NPD Authorized official

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1093496416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040960128",
            "telephone_number": "207-200-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAIN ST STE 14",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040321100",
            "telephone_number": "207-200-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARLO",
        "first_name": "KIM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC25368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Eliza Cressler, APRN-CNP
• Customized Employment Solutions
• CVS State Capital, L.L.C. (CVS Pharmacy # 08245)
• Douglas Edmund Daggett, LMSW
• Dale Erickson
• Kaitlyn-Jade Dingley, CNP
• Daniel James Doherty, PT
• Cassandra J Dolby
• Reid Dominie
• James B Donahue, D.O.

• Clinical Social Worker in Freeport, ME
• Providers in Freeport, 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 Aug 10, 2026; 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.