Katrina M Records

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC19004 Issued in ME

Practice address

192 Saco Ave
Old Orchard Beach, ME 04064-1336

Phone

(207) 613-4777

Fax

(207) 613-4778

NPI assigned

May 7, 2019

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

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Spurwink Services IncorporatedGroup PAC ID 7810026945, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spurwink Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1760507297
  Medicare reassignment Care Compare group NPD
• Sun and Moon Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saco, ME
  • NPI 1659259885

  Clinical

  Medicare reassignment NPD Authorized official
• Kat Records, LCSW, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Old Orchard Beach, ME
  • NPI 1063212363
  NPD Authorized official
• Spurwink Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1316945090
  NPD (past)

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1568027399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 SACO AVE",
            "city": "OLD ORCHARD BEACH",
            "state": "ME",
            "postal_code": "040641336",
            "telephone_number": "207-613-4777",
            "fax_number": "207-613-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 SACO AVE",
            "city": "OLD ORCHARD BEACH",
            "state": "ME",
            "postal_code": "040641336",
            "telephone_number": "207-613-4777",
            "fax_number": "207-613-4778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Washington Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041032842",
            "country_code": "US",
            "telephone_number": "207-871-1200",
            "fax_number": "207-871-1232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RECORDS",
        "first_name": "KATRINA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC19004",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "MC17450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Old Orchard Beach Chiropractic, Inc.
• Old Orchard Beach Family Dentistry
• Old Orchard Beach School Department
• Joseph Parent
• Jaimie Lynn Perry-Hudson, LCPC-C
• Rite Aid of Maine Inc
• Suzanne G Roberts, M.D.
• Patricia H Robinson, LCSW
• Royal Residential Care LLC
• Seaside Family Health Care LLC PA

• Clinical Social Worker in Old Orchard Beach, ME
• Providers in Old Orchard Beach, 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 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.