Individual provider Active NPI

Kathryn Eleanora Hassett, LCSW

  • Clinical Social Worker
  • Portland, ME
National Provider Identifier
1760038400
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC17140 Issued in ME
Practice address
48 Gilman St
Portland, ME 04102-3004
Phone
(207) 662-2991
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LC17140 ME Primary

Addresses

Primary practice location

48 Gilman St
Portland, ME 04102-3004

Mailing address

48 Gilman St
Portland, ME 04102-3004
Phone (207) 662-2565

Other practice location 1

449 Forest Ave Ste 206
Portland, ME 04101-2042
Phone (517) 743-0879

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL katehassettlcsw@gmail.com Direct

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1760038400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 GILMAN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023004",
            "telephone_number": "207-662-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 GILMAN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023004",
            "telephone_number": "207-662-2991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "449 Forest Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041012042",
            "country_code": "US",
            "telephone_number": "517-743-0879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSETT",
        "first_name": "KATHRYN",
        "middle_name": "ELEANORA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "katehassettlcsw@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "private",
            "address_1": "449 Forest Ave Ste 206",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041012042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.