Individual provider Active NPI

Karlene Hafemann, LCSW

  • Clinical Social Worker
  • Kennebunk, ME
National Provider Identifier
1346633252
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC16622 Issued in ME
Practice address
10 Ocean View Rd
Kennebunk, ME 04043-7228
Phone
(207) 245-0525
NPI assigned
Mar 17, 2015
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MC15297 ME
Clinical Social Worker 1041C0700X LC16622 ME Primary

Addresses

Primary practice location

10 Ocean View Rd
Kennebunk, ME 04043-7228

Mailing address

10 Ocean View Rd
Kennebunk, ME 04043-7228
Phone (207) 245-0525

Other identifiers 1

IdentifierTypeStateIssuer
LC16622OtherMESOCIAL WORK LICENSING BOARD

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

LicenseStateTypeSpecialty
LC16622MEMDClinical Social Worker
MC15297MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karlene Hafemann Clinical CurrentSince Jun 2, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1346633252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OCEAN VIEW RD",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437228",
            "telephone_number": "207-245-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OCEAN VIEW RD",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437228",
            "telephone_number": "207-245-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFEMANN",
        "first_name": "KARLENE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC15297",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC16622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSING BOARD",
            "identifier": "LC16622",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.