Katrina St Louis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MC18090 Issued in ME

Practice address

21 Main St Ste 301
Bangor, ME 04401-6359

Phone

(207) 631-2201

Fax

(207) 631-2203

NPI assigned

Oct 2, 2018

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

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": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1194200519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 LARKIN ST APT 1",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAIN ST STE 301",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016359",
            "telephone_number": "207-631-2201",
            "fax_number": "207-631-2203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 Cumberland St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044015234",
            "country_code": "US",
            "telephone_number": "207-941-1612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST LOUIS",
        "first_name": "KATRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC6584",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC18090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Sproul, PMHNP
• Sprout & Soar Therapy LLC
• Spruce Run - TH Program
• Spruce Run Association
• Cheryl Marie St Louis, RN
• Danielle Marie St Onge, PA-C
• Sandra E St. Germain, NP
• Jocelyn Leonard St. Jean, AGACNP-BC
• St. Joseph Ambulatory Care Inc
• St. Joseph Hospital

• Clinical Social Worker in Bangor, ME
• Providers in Bangor, 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 May 27, 2020; 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.