Individual provider · Type 1 NPI

Katherine C. Hallissey, LCSW

Clinical Social Worker · South Portland, ME

NPI number 1306484563 Active

Practice location

100 Foden Rd
South Portland, ME 04106-2327

Mailing address

100 Gannett Dr Ste C
South Portland, ME 04106-5900

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLC20894 (ME)
Clinical Social Worker Primary 1041C0700XLC20894 (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 1306484563

Katherine C. Hallissey, LCSW's National Provider Identifier is 1306484563, issued on Dec 18, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Portland, ME. The record was last updated on Mar 4, 2026.