Individual provider Active NPI

Kai Crowell Bry

  • Clinical Social Worker
  • South Portland, ME
National Provider Identifier
1881439081
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC23546 Issued in ME
Practice address
28 Christopher Toppi Dr
South Portland, ME 04106-6901
Phone
(207) 808-8085
NPI assigned
Jun 28, 2024
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 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 LC23546 ME Primary

Addresses

Primary practice location

28 Christopher Toppi Dr
South Portland, ME 04106-6901

Mailing address

7 Railroad Ave Ste 317
Gorham, ME 04038-1546

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
I20250310000760 ME Practitioner - Clinical Social Worker 4880115633 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC23546MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Center of Maine Clinical CurrentSince Dec 28, 2024 Accepting new patients

Locations

261 US Route 1
Falmouth, ME 04105
Phone (207) 808-8085

7 Railroad Ave
Ste 317
Gorham, ME 04038
Phone (207) 222-0309

28 Christopher Toppi Dr
South Portland, ME 04106
Phone (207) 808-8085

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": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1881439081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RAILROAD AVE STE 317",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CHRISTOPHER TOPPI DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066901",
            "telephone_number": "207-808-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRY",
        "first_name": "KAI",
        "middle_name": "CROWELL",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC23546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.