Individual provider Active NPI

Katherine D. Baltes, L.C.S.W.

  • Clinical Social Worker
  • Portland, ME
National Provider Identifier
1538466552
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC5649 Issued in ME
Practice address
9 Hastings St
Portland, ME 04102-2015
Phone
(207) 232-3759
NPI assigned
Feb 28, 2011
Last updated
Feb 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC5649 ME Primary

Addresses

Primary practice location

9 Hastings St
Portland, ME 04102-2015

Mailing address

25 Newman St
Portland, ME 04103-1721
Phone (207) 797-3816

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

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1538466552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NEWMAN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031721",
            "telephone_number": "207-797-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HASTINGS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022015",
            "telephone_number": "207-232-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTES",
        "first_name": "KATHERINE",
        "middle_name": "D.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.