Kimberly Burgum Luchini, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC17273 Issued in ME

Practice address

37 Park St Ste 302
Lewiston, ME 04240-7195

Phone

(207) 613-4050

NPI assigned

Mar 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Sweetser

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

  ME

  Medicare reassignment NPD
• Avalon Services LLC

  • Community/Behavioral Health Agency
  • Lewiston, ME
  • NPI 1659923068
  NPD (past)
• Central Maine Family Counseling PA

  • Community/Behavioral Health Agency
  • Lewiston, ME
  • NPI 1003001702
  NPD (past)

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1962863050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ENTERPRISE DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112711",
            "telephone_number": "207-939-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PARK ST STE 302",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407195",
            "telephone_number": "207-613-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 East Ave",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042405662",
            "country_code": "US",
            "telephone_number": "207-777-3399",
            "fax_number": "207-777-3391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCHINI",
        "first_name": "KIMBERLY",
        "middle_name": "BURGUM",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emault Louis, MD
• Benjamin Franklin Lounsbury, M.D.
• Chiajung Karen Lu, M.D.
• Valerie Lynn Lucas, LCSW
• Adrienne Lucey, PMHNP
• Devan Cole Lucier
• Nancy Ann Ludwig, LCSW/LADC/CCS
• Luna Care Solutions LLC
• Maranda L Lycette
• Kate Elizabeth Lydon

• All providers in Lewiston, ME
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.