Active NPI
Kathryn Ann Klein, LCSW
- Clinical Social Worker
- Medway, ME
National Provider Identifier
1649334756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC3568
- Practice address
- 73 Wilderness Dr
Medway, ME 04460-3001 - Phone
- (207) 746-5736
- Fax
- (207) 746-5736
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC3568 | ME | Primary |
Addresses
Primary practice location
73 Wilderness Dr
Medway, ME 04460-3001
Mailing address
73 Wilderness Dr
Medway, ME 04460-3001
Phone (207) 746-5736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233210099 | Medicaid | ME |
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": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508457600000",
"number": "1649334756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 WILDERNESS DR",
"city": "MEDWAY",
"state": "ME",
"postal_code": "044603001",
"telephone_number": "207-746-5736",
"fax_number": "207-746-5736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 WILDERNESS DR",
"city": "MEDWAY",
"state": "ME",
"postal_code": "044603001",
"telephone_number": "207-746-5736",
"fax_number": "207-746-5736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "KATHRYN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2017-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC3568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "233210099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medway, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.