Kathryn Alison Clark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MC20209 Issued in ME

Practice address

535 Ocean Ave Ste 4
Portland, ME 04103-4970

Phone

(207) 370-5389

NPI assigned

May 5, 2022

Last updated

Jan 8, 2025By 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 2

Addresses

Electronic endpoints 1

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.

• Kate Clark, LCSW

  • Clinical Social Worker
  • Portland, ME
  • NPI 1316794936
  NPD Authorized official
• Counseling and Trauma Therapy Associates

  • Clinical Social Worker
  • Biddeford, ME
  • NPI 1396264933
  NPD

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1164168902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 ALFRED ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053102",
            "telephone_number": "207-370-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 OCEAN AVE STE 4",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034970",
            "telephone_number": "207-370-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KATHRYN",
        "middle_name": "ALISON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC7797",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC20209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ktownsend@catt-associates.com",
            "affiliation": "Y",
            "affiliationName": "Counseling and Trauma Therapy Associates",
            "address_1": "535 Ocean Ave Ste 4",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041034970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David E Clark, MD
• Deandra L Clark, M.S., LCPC-C, LADC
• Drew Clark
• Jamie Wallace Clark, MSOTR/L
• Julie Ann Clark, LCSW
• Matthew Anthony Clark, DO
• Meagan Jenkins Clark, MD
• Michelle Ruth Clark, PA-C
• Nathaniel P Clark, LCPC-C
• Nicole TM Clark, ATC-L

• Clinical Social Worker in Portland, ME
• Providers in Portland, 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 Jan 8, 2025; 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.