Active NPI
Kathryn Jones, LCSW
- Clinical Social Worker
- Oxford, ME
National Provider Identifier
1396110243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC17003
- Practice address
- 143 Pottle Rd
Oxford, ME 04270-3362 - Phone
- (207) 743-7911
- Fax
- (207) 743-7913
- NPI assigned
- Dec 3, 2015
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 221171 | MA | |
| Clinical Social Worker | 1041C0700X | LC17003 | ME | Primary |
Addresses
Primary practice location
143 Pottle Rd
Oxford, ME 04270-3362
Mailing address
63 Tucker LN
Poland, ME 04274-5959
Phone (978) 399-4524
Other names 1
- Kathryn E Kennedy
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221171 | MA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spurwink Services Incorporated | Current | Accepting new patients |
Locations
1155 Lisbon St
Lewiston, ME 04240
143 Pottle Rd
Oxford, ME 04270
Phone (207) 743-7911
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, ME
- NPI 1760507297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1396110243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 TUCKER LN",
"city": "POLAND",
"state": "ME",
"postal_code": "042745959",
"telephone_number": "978-399-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 POTTLE RD",
"city": "OXFORD",
"state": "ME",
"postal_code": "042703362",
"telephone_number": "207-743-7911",
"fax_number": "207-743-7913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KATHRYN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-03",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "221171",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC17003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "KENNEDY",
"middle_name": "E",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oxford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.