Active NPI
Kaitlin Palmer Rice Christie, LCSW
- Clinical Social Worker
- South Portland, ME
National Provider Identifier
1386281632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC17566
- Practice address
- 707 Sable Oaks Dr Ste 230
South Portland, ME 04106-6954 - Phone
- (207) 774-8700
- NPI assigned
- Dec 5, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | AZ | ||
| Clinical Social Worker | 1041C0700X | LC17566 | ME | Primary |
Addresses
Primary practice location
707 Sable Oaks Dr Ste 230
South Portland, ME 04106-6954
Mailing address
1338 W Forest Meadows St Ste 140
Flagstaff, AZ 86001-7226
Phone (928) 212-8621
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
707 Sable Oaks Dr
Suite 230
South Portland, ME 04106-6954
Phone (603) 883-0005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1386281632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1338 W FOREST MEADOWS ST STE 140",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860017226",
"telephone_number": "928-212-8621",
"fax_number": "928-326-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 SABLE OAKS DR STE 230",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041066954",
"telephone_number": "207-774-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIE",
"first_name": "KAITLIN",
"middle_name": "PALMER RICE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-05",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC17566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.