KRISTEN BOUSE LCSW
NPI 1295820140
Social Worker - Clinical in Portland, ME

Q: What is Kristen Bouse's NPI number?

The NPI number for Kristen Bouse is 1295820140. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Kristen Bouse's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristen Bouse was last updated on May 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since October 04, 2006

343 FOREST AVE, PORTLAND, ME 04101(207) 874-1030(207) 874-1044 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kristen Bouse Lcsw NPPES

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

KRISTEN BOUSE LCSW (NPI 1295820140) is an individual clinical provider in Portland, Maine, licensed in Maine (LC10053) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1295820140

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKRISTEN BOUSECredential: LCSW

Location Address343 FOREST AVEPortland, ME 04101

Mailing Address343 Forest AvePortland, ME 04101 · (207) 874-1030 · Fax (207) 874-1044

Phone(207) 874-1030

Fax(207) 874-1044

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateMay 11, 2009

✔ NPI 1295820140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in ME · LC10053

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LC10053 (ME)

343 FOREST AVE, Portland, ME 04101

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Other Identifiers 2

Medicaid286000099ME

Medicare PINME150301ME

Other Providers at the Same Location NPPES 20

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

LIBERTY BAY RECOVERY CENTER, LLC

Clinic/Center (Rehabilitation, Substance Use Disorder)