Individual provider Active NPI

Kristin Grace Ayotte

  • Clinical Social Worker
  • Hamlin, ME
National Provider Identifier
1679944490
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MC15640 Issued in ME
Practice address
73 Hamlin Rd
Hamlin, ME 04785-4002
Phone
(207) 887-0272
NPI assigned
Oct 20, 2015
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MC15640 ME Primary

Addresses

Primary practice location

73 Hamlin Rd
Hamlin, ME 04785-4002

Mailing address

73 Hamlin Rd
Hamlin, ME 04785-4002
Phone (207) 887-0272

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181231000178 ME Practitioner - Clinical Social Worker 7113262767

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fish River Rural HealthGroup PAC ID 3577531953, shared by 6 NPIs, 21 clinicians

Practice addresses (Care Compare)

12 Bolduc Ave
Fort Kent, ME 04743-1602
Phone (207) 444-5973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC15640MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fish River Rural Health Current Accepting new patients
Fish River Rural Health CurrentSince Dec 2, 2019 Accepting new patients
Fish River Rural Health CurrentSince Dec 2, 2019 Accepting new patients
Haven Counseling LLC Clinical CurrentSince Jun 23, 2025 Accepting new patients

Locations

10 Carter St
Eagle Lake, ME 04739
Phone (207) 444-5973

12 Bolduc Ave
Fort Kent, ME 04743
Phone (207) 834-3012

3 Mountainview Dr
Fort Kent, ME 04743
Phone (207) 834-1573

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1679944490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 HAMLIN RD",
            "city": "HAMLIN",
            "state": "ME",
            "postal_code": "047854002",
            "telephone_number": "207-887-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 HAMLIN RD",
            "city": "HAMLIN",
            "state": "ME",
            "postal_code": "047854002",
            "telephone_number": "207-887-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOTTE",
        "first_name": "KRISTIN",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC15640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlin, ME

Sources for this page

Verify at the official NPI Registry.