Individual provider · Type 1 NPI

Kristen Breault, LCSW

Clinical Social Worker · Scarborough, ME

NPI number 1558764787 Active

Practice location

180 US Route 1
Scarborough, ME 04074-9073

Mailing address

180 US Route One
Scarborough, ME 04074-9041

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XMC14918 (ME)
Clinical Social Worker Primary 1041C0700XLC16403 (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 1558764787

Kristen Breault, LCSW's National Provider Identifier is 1558764787, issued on Oct 2, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Scarborough, ME. The record was last updated on Jul 21, 2022.