Charlotte Anne Beaulieu

Individual provider Active NPI Clinical Social Worker · Kennebunk, ME

NPI 1679483465 · NPPES record last updated Sep 11, 2026

Key facts

NPI
1679483465
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
MC26444 (ME)
Practice address
5 Bragdon LN Ste 4
Kennebunk, ME 04043-7262
Phone
(207) 298-1914
NPI assigned
Sep 11, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MC26444 ME Yes

Addresses

Primary practice location

5 Bragdon LN Ste 4
Kennebunk, ME 04043-7262

Mailing address

290 Baxter Blvd Apt D2
Portland, ME 04101-1634

Other providers in Kennebunk, ME

All providers in Kennebunk, ME · Clinical Social Worker in Maine

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.