Kimberly E. Amadon, LCSW
Individual provider Active NPI Clinical Social Worker · Falmouth, ME
NPI 1821158098 · NPPES record last updated Jul 20, 2007
Key facts
- NPI
- 1821158098
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC7662 (ME)
- Practice address
- 3 Fundy Rd
Suite # 2D
Falmouth, ME 04105-1796 - Phone
- (207) 781-2220
- Fax
- (207) 781-2242
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC7662 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Behavioral Healthcare, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC7662 | ME | Yes |
Addresses
Primary practice location
3 Fundy Rd
Suite # 2D
Falmouth, ME 04105-1796
Mailing address
18 Ocean St # 122
South Portland, ME 04106-2849
Phone (207) 233-5307
Other providers in Falmouth, ME
- Allison Goddard, M.D., LLC
- Jake R Alofs
- Cynthia Ann Alpert
- Bethany Althaus
- Jillian Paige Alvarez
- Felix Joseph Amato
- Kristina Andren
- Stefan Anders Andren
- Jill Andrews
- Anne-Louise Goulet OD PA
All providers in Falmouth, 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 Jul 20, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.