Katharine Evans, LCSW

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

LC6533 Issued in ME

Legal business name

KATHARINE EVANS, LCSW

Practice address

5 Lowell St
Suite 4
Calais, ME 04619-1712

Phone

(207) 214-7920

Fax

(207) 726-4210

NPI assigned

Jan 9, 2015

Last updated

Jan 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katharine H Evans, LCSW

Title

Owner

Phone

(207) 726-4210

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1619366945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HARDY POINT RD",
            "city": "PEMBROKE",
            "state": "ME",
            "postal_code": "046664311",
            "telephone_number": "207-726-4210",
            "fax_number": "207-726-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LOWELL ST",
            "address_2": "SUITE 4",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191712",
            "telephone_number": "207-214-7920",
            "fax_number": "207-726-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHARINE EVANS, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-726-4210",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "ME",
            "license": "LC6533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in Calais, ME
• Providers in Calais, ME by specialty
• Adolescent and Children Mental Health Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.