Active NPI
Lorraine Kimball Swenson, LCPC
- Professional Counselor
- Springvale, ME
National Provider Identifier
1265448336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC3336
- Practice address
- 474 Main St
Springvale, ME 04083-1409 - Phone
- (207) 324-1500
- Fax
- (207) 490-5263
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CC3336 | ME | |
| Professional Counselor | 101YP2500X | CC3336 | ME | Primary |
Addresses
Primary practice location
474 Main St
Springvale, ME 04083-1409
Mailing address
78 Atlantic PL
South Portland, ME 04106-2316
Phone (207) 842-7701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432108099 | Medicaid | ME |
Other names 1
- Lorraine Del Kimball
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC3336 | ME | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1265448336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 ATLANTIC PL",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062316",
"telephone_number": "207-842-7701",
"fax_number": "207-842-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 MAIN ST",
"city": "SPRINGVALE",
"state": "ME",
"postal_code": "040831409",
"telephone_number": "207-324-1500",
"fax_number": "207-490-5263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENSON",
"first_name": "LORRAINE",
"middle_name": "KIMBALL",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "CC3336",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC3336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432108099",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORRAINE",
"last_name": "KIMBALL",
"middle_name": "DEL",
"credential": "LCPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springvale, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.