Individual provider Active NPI

Kim T Larkins, LCSW

  • Clinical Social Worker
  • Houlton, ME
National Provider Identifier
1164823795
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC17183 Issued in ME
Practice address
7 Court St
Houlton, ME 04730-1709
Phone
(207) 694-2230
Fax
(888) 635-4735
NPI assigned
Sep 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X LC17183 ME Primary

Addresses

Primary practice location

7 Court St
Houlton, ME 04730-1709

Mailing address

7 Court St
Houlton, ME 04730-1709
Phone (207) 694-2230

Other practice location 1

11 Mill St
Houlton, ME 04730-1877
Phone (207) 532-6523

Other identifiers 1

IdentifierTypeStateIssuer
1164823795MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204003048 ME Practitioner - Clinical Social Worker 7618211541 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC17183MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetser CurrentSince Oct 16, 2018 Accepting new patients
Aroostook Mental Health Services, Inc. Clinical PastSince Jun 15, 1995 Accepting new patients

Locations

28 Sweetser Dr
Belfast, ME 04915
Phone (207) 284-5981

50 Moody St
Saco, ME 04072
Phone (207) 284-5981

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1164823795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COURT ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301709",
            "telephone_number": "207-694-2230",
            "fax_number": "888-635-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COURT ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301709",
            "telephone_number": "207-694-2230",
            "fax_number": "888-635-4735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Mill St",
            "address_purpose": "LOCATION",
            "city": "Houlton",
            "state": "ME",
            "postal_code": "047301877",
            "country_code": "US",
            "telephone_number": "207-532-6523",
            "fax_number": "207-532-3873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARKINS",
        "first_name": "KIM",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164823795",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houlton, ME

Sources for this page

Verify at the official NPI Registry.