Catherine Delia Coombs, LCSW – Clinical Social Worker

Key facts

NPI: 1912018409
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: LC6299 (ME)
Practice address: 22 Ash St
Farmingdale, ME 04344-1639
Phone: (207) 441-8656
Fax: (207) 621-2320
NPI assigned: Aug 31, 2006
Sex: Female
Sole proprietor: Yes

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 and National Provider Directory roles.

Kennebec Valley Mental Health Center Mental Health Clinic/Center (Including Community Mental Health Center) · Waterville, ME · NPI 1679504864

NPD (past)

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
LC6299	ME	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Kennebec Valley Mental Health Center		Past since Nov 6, 2000	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	LC6299	ME	Yes

Addresses

Primary practice location

22 Ash St
Farmingdale, ME 04344-1639

Mailing address

22 Ash St
Farmingdale, ME 04344-1639
Phone (207) 441-8656

Other identifiers

Identifier	Type	State	Issuer
273930099	Medicaid	ME

Other providers in Farmingdale, ME

All providers in Farmingdale, 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 Nov 2, 2009. 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.

Verify at the official NPI Registry.