Individual provider Active NPI

Kerianne Kuliga

  • Clinical Social Worker
  • Saco, ME
National Provider Identifier
1548601149
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MC14218 Issued in ME
Practice address
209 Main St
Suites 302-303
Saco, ME 04072-1566
Phone
(207) 571-9923
Fax
(207) 571-9927
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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 MC14218 ME Primary

Addresses

Primary practice location

209 Main St
Suites 302-303
Saco, ME 04072-1566

Mailing address

209 Main St
Suites 302-303
Saco, ME 04072-1566
Phone (207) 571-9923

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC14218MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1548601149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MAIN ST",
            "address_2": "SUITES 302-303",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721566",
            "telephone_number": "207-571-9923",
            "fax_number": "207-571-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MAIN ST",
            "address_2": "SUITES 302-303",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721566",
            "telephone_number": "207-571-9923",
            "fax_number": "207-571-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULIGA",
        "first_name": "KERIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC14218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.