Individual provider · Type 1 NPI

Kristen Bouse, LCSW

Clinical Social Worker · Portland, ME

NPI number 1295820140 Active

Practice location

343 Forest Ave
Portland, ME 04101

Fax (207) 874-1044

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLC10053 (ME)
Clinical Social Worker Primary 1041C0700XLC10053 (ME)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1295820140

Kristen Bouse, LCSW's National Provider Identifier is 1295820140, issued on Oct 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, ME. The record was last updated on May 11, 2009.