Kimberly Berry, LMSW-CC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MC12040 Issued in ME

Practice address

2 Springbrook Dr
Biddeford, ME 04005-9443

Phone

(207) 282-1500

Fax

(207) 282-2581

NPI assigned

Nov 11, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1659608792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 ATLANTIC PL",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062316",
            "telephone_number": "207-842-7701",
            "fax_number": "207-842-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SPRINGBROOK DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059443",
            "telephone_number": "207-282-1500",
            "fax_number": "207-282-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "KIMBERLY",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC12040",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "MC12040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434971299",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristyna Grace Bernatchez, PA-C
• Sara Beth Berner-Orcutt, D.O.
• Fernand J Bernier, R.PH.
• Samuel E Bernstein, PA
• Nicole Beros
• Michael Bertrand
• Erica Berube, LCSW
• Nancy E Berube, OTR/L, CBIS
• Ashley Eva Besemer, PSY.D
• Beth Jane Williams

• Social Worker in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.