Individual provider Active NPI

Kristen Dunphe, LCSW

  • Clinical Social Worker
  • South Portland, ME
National Provider Identifier
1821381377
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC14060 Issued in ME
Practice address
324 Gannett Dr Ste 300
South Portland, ME 04106-3269
Phone
(207) 771-5700
Fax
(207) 771-5755
NPI assigned
May 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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 LC14060 ME Primary

Addresses

Primary practice location

324 Gannett Dr Ste 300
South Portland, ME 04106-3269

Mailing address

324 Gannett Dr Ste 300
South Portland, ME 04106-3269
Phone (207) 771-5700

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
I20150327001642 ME Practitioner - Clinical Social Worker 4385961598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Counseling Center of Nashua IncGroup PAC ID 3274523758, 250 clinicians

Practice addresses (Care Compare)

707 Sable Oaks Dr
Suite 230
South Portland, ME 04106-6954
Phone (603) 883-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC14060MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center of Nashua Inc Clinical CurrentSince Dec 15, 2025 Accepting new patients

Locations

53 Baxter Blvd
Portland, ME 04101
Phone (207) 245-1648

707 Sable Oaks Dr
Ste 230
South Portland, ME 04106
Phone (207) 387-0801

1 Main St
Nashua, NH 03064
Phone (603) 689-7978

Organizations & group practices 1

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1821381377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 300",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063269",
            "telephone_number": "207-771-5700",
            "fax_number": "207-771-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 300",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063269",
            "telephone_number": "207-771-5700",
            "fax_number": "207-771-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNPHE",
        "first_name": "KRISTEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC14060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.