Kaisa Mann

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC17730 Issued in ME

Practice address

30 Danforth St Ste 311
Portland, ME 04101-4574

Phone

(207) 619-3356

Fax

(207) 300-6085

NPI assigned

Apr 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Art of Awareness, Inc.

  • Clinical Social Worker
  • South Portland, ME
  • NPI 1891833760
  Medicare reassignment NPD
• Sweetser

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saco, ME
  • NPI 1538122445

  Multi-Specialty

  Medicare reassignment NPD
• Portland Institute for Psychotherapy and Training, LLC

  • Clinical Social Worker
  • Portland, ME
  • NPI 1932607801
  NPD
• Day One

  • Children's Substance Abuse Rehabilitation Facility
  • Windham, ME
  • NPI 1164484093

  Counselor

  NPD (past)

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1821484940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8484",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041048484",
            "telephone_number": "207-619-3356",
            "fax_number": "207-300-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DANFORTH ST STE 311",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014574",
            "telephone_number": "207-619-3356",
            "fax_number": "207-300-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "KAISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC5988",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164484093",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charity Maniates, MSPH, MPH, PAC
• Jayne Elizabeth Manigrasso, MD
• Bruce G Manley, PA-C
• Elizabeth A. Mann, RN
• Jack P Mann Jr., MD
• Katharine Mann, LCSW
• Ann Manning
• Samantha Ann Mansberger-Duchesne, DO
• Joy Many, DPT
• Maps

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.