Makayla Kamm, LCSW

Individual provider Active NPI Clinical Social Worker · Hallowell, ME

NPI 1508269804 · NPPES record last updated Dec 12, 2019

Key facts

NPI
1508269804
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LC15361 (ME)
Practice address
276 Whitten Rd Ste 2
Hallowell, ME 04347-3057
Phone
(207) 621-6760
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LC15361MEMDClinical Social Worker
MC14023MEMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MC14023 ME
Clinical Social Worker 1041C0700X LC15361 ME Yes

Addresses

Primary practice location

276 Whitten Rd Ste 2
Hallowell, ME 04347-3057

Mailing address

43 Newland Ave
Augusta, ME 04330-4114

Other providers in Hallowell, ME

All providers in Hallowell, ME · Clinical Social Worker in Maine

Sources for this page

Verify at the official NPI Registry.