Kathleen Marie Sparda-Cloutier

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14237 Issued in SC

Practice address

22 Wellington Dr
Rockport, ME 04856-4022

Phone

(207) 730-0057

NPI assigned

May 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482
  NPD (past)

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1427632777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1268",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431268",
            "telephone_number": "207-730-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WELLINGTON DR",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564022",
            "telephone_number": "207-730-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARDA-CLOUTIER",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC18722",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.brightside.com",
            "affiliation": "Y",
            "endpointDescription": "Healthcare company",
            "affiliationName": "Brightside Health, Inc.",
            "address_1": "22 Wellington Dr",
            "city": "Rockport",
            "state": "ME",
            "country_code": "US",
            "postal_code": "048564022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew C Small, LCSW
• Neil D. Smith, MD
• Snow Sport and Spine
• Kathryn Snow, PT
• Anthony P. Solley, M.D.
• Karen Alice Spears, S.L.P.
• Stable Minds, LLC
• Kirsten L Staples, MD
• Jon Turner Stauffer, M.D.
• Edward T Steele, MD

• Clinical Social Worker in Rockport, ME
• Providers in Rockport, 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 May 11, 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.