Active NPI
Carolyn Balcom Holbrook
- Social Worker
- Portland, ME
National Provider Identifier
1851336788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LC2568
- Practice address
- 205 Ocean Ave
Portland, ME 04103-5742 - Phone
- (207) 775-1335
- NPI assigned
- Jun 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LC2568 | ME | Primary |
Addresses
Primary practice location
205 Ocean Ave
Portland, ME 04103-5742
Mailing address
205 Ocean Ave
Portland, ME 04103-5742
Phone (207) 775-1335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048028 | Other | ME | BC/BS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2568 | ME | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1851336788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 OCEAN AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041035742",
"telephone_number": "207-775-1335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 OCEAN AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041035742",
"telephone_number": "207-775-1335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "CAROLYN",
"middle_name": "BALCOM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "LC2568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "048028",
"state": "ME"
}
],
"endpoints": [],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.