NPI 1215238431

Kimberly Ann Burgess, LSWCBHP

Practitioner Social Worker Ellsworth, ME

Practice location

Address: 23 Carriage Way, Ellsworth, ME 04605
Phone: (207) 667-3239
Fax: (207) 667-0171
Mailing address: PO Box 1373, Ellsworth, ME 04605-1373

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence LSX12393 (ME)

Other Social Worker providers in Maine →

Registry record

NPI: 1215238431
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Nov 2010
Record last updated: 4 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.