Kennebec Valley Case Management Service

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

KENNEBEC VALLEY CASE MANAGEMENT SERVICE

Practice address

309 Windsor Rd
Chelsea, ME 04330-1342

Phone

(207) 441-5637

NPI assigned

Aug 6, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Minoty, LSX, B.S., A.A., MSP

Title

Cao

Phone

(207) 441-5637

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366967812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WINDSOR RD",
            "city": "CHELSEA",
            "state": "ME",
            "postal_code": "043301342",
            "telephone_number": "207-441-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 WINDSOR RD",
            "city": "CHELSEA",
            "state": "ME",
            "postal_code": "043301342",
            "telephone_number": "207-441-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEBEC VALLEY CASE MANAGEMENT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MINOTY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "207-441-5637",
        "authorized_official_credential": "LSX, B.S., A.A., MSP"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne V Hardt
• Ravinder GS Hayreh, LMSW/C
• Carla Jane Heisten, LMT
• David G Hutchins, DPM
• Corey David Jamison, LMSW/CC
• Carrie S Khalvati
• Adam Emmanuell Lawrence, CNA
• Derek Libby, CADC, MHRTC
• Brittany Look, RN, CCM
• Michelle Nicole Mathieu, TOTA

• Case Manager/Care Coordinator in Chelsea, ME
• Providers in Chelsea, ME by specialty
• Case Manager/Care Coordinator in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.