Austin, Kimberly

Austin, Kimberly is an individual health care provider with primary practice located at 343 Forest Ave , Portland ME 04101-2006. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Austin, Kimberly can be contacted via phone (207) 874-1030.

Contact Information

Primary practice address
343 Forest Ave Portland ME 04101-2006
Phone: (207) 874-1030
Fax: (207) 874-1044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LC10159 Maine
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC10159 Maine
Behavioral Health & Social Service Providers / Social Worker 104100000X LC10159 Maine
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LC10159 Maine

Profile Details

NPI number 1588677603
LBN Legal business name Austin, Kimberly
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Apr 23rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588677603 NPPES
Maine MEDICAID 104760100

Popular Providers