MR. PETER JEFFERS KIMBALL JR. LCSW
NPI 1023327400
Social Worker - Clinical in Portland, ME

Active since October 01, 2010
66 STATE ST, PORTLAND, ME 04101(207) 871-7431 Get Directions Write a Review

NPPES record last updated: October 1, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Peter Jeffers Kimball Jr. Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PETER JEFFERS KIMBALL JR. LCSW (NPI 1023327400) is an individual clinical provider in Portland, Maine, licensed in Maine (LC10102) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1023327400
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. PETER JEFFERS KIMBALL JR.Credential: LCSW
Location Address66 STATE STPortland, ME 04101-3751
Mailing Address29 Tucker AvePortland, ME 04103-1422 · (207) 871-7431
Sole ProprietorNo
Enumeration DateOctober 1, 2010
NPI 1023327400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ME · LC10102
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
66 STATE ST, Portland, ME 04101

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
66 STATE ST
PORTLAND, ME 04101
Social Worker (Clinical)
66 STATE ST
PORTLAND, ME 04101
Social Worker
66 STATE ST
PORTLAND, ME 04101
Social Worker (Clinical)
66 STATE ST
PORTLAND, ME 04101
Counselor (Mental Health)
66 STATE ST
PORTLAND, ME 04101
Social Worker (Clinical)
66 STATE ST
PORTLAND, ME 04101
Social Worker (Clinical)
66 STATE ST
PORTLAND, ME 04101
Community/Behavioral Health
66 STATE ST
PORTLAND, ME 04101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Kimball's NPI number?

The NPI number for Peter Kimball is 1023327400. It was assigned to this individual provider in the NPPES registry on October 1, 2010.

Where is Peter Kimball located?

Peter Kimball practices at 66 State St, Portland, ME 04101. The listed phone number is (207) 871-7431.

What is Peter Kimball's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Peter Kimball was last updated on October 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.