Kimberly Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

62 Portland Rd Ste 25a
Kennebunk, ME 04043-6650

Phone

(207) 650-9919

NPI assigned

Jul 29, 2021

Last updated

Sep 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Kim Davis LCSW LLC

  • Clinical Social Worker
  • Kennebunk, ME
  • NPI 1962281394
  Authorized official Same address or phone

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1417620097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 PORTLAND RD STE 25A",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436799",
            "telephone_number": "207-650-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 PORTLAND RD STE 25A",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436650",
            "telephone_number": "207-650-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS State Capital, L.L.C. (CVS Pharmacy #07410)
• Charlotte Muriel Cyr, MSPT
• Laura Ann D'Angelo, PT, MS, NCS
• Kristin Jennifer D'Orso, P.T.
• Anne Marie Dadura, LCPC
• Elisabeth M. Delprete, D.O.
• Jane M Desimone, OT
• Ashley Desrochers
• Lisa Dias
• Sarah Diaz, LMT

• Clinical Social Worker in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.