KIMBERLY D BRONSON LCSW,CCS
NPI 1730419797
Social Worker - Clinical in Portland, ME

Q: What is Kimberly Bronson's NPI number?

The NPI number for Kimberly Bronson is 1730419797. It was assigned to this individual provider in the NPPES registry on January 13, 2010. The provider is also known as Kimber D Freedman.

Q: What is Kimberly Bronson'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 Kimberly Bronson was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 13, 2010PECOS Enrolled

175 FORE RIVER PKWY, PORTLAND, ME 04102(207) 879-3625 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 12, 2022, May 23, 2017 (2 updates tracked since 2017).

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About Kimberly D Bronson Lcsw,ccs NPPES

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

KIMBERLY D BRONSON LCSW,CCS (NPI 1730419797) is an individual clinical provider in Portland, Maine, licensed in Maine (MC11380) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1730419797

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKIMBERLY D BRONSONCredential: LCSW,CCS

Location Address175 FORE RIVER PKWYPortland, ME 04102-2779

Mailing Address175 Fore River PkwyPortland, ME 04102-2779 · (207) 879-3625

Phone(207) 879-3625

Sole ProprietorNo

Enumeration DateJanuary 13, 2010

Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration

NPPES CertifiedAugust 12, 2022

✔ NPI 1730419797 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 · MC11380

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.

175 FORE RIVER PKWY, Portland, ME 04102

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Other Names 1

Former Name (1)Kimber D Freedman

Secondary Practice Location 1

Location 147 Fall Brook StPortland, ME 04103-4224 · Phone (207) 450-9738

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly D Bronson Lcsw,ccs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kimberly Bronson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Hospital

Same address

General Acute Care Hospital

175 FORE RIVER PKWY
Portland, ME 04102

Reassigned Medicare billing, Maine enrollment
322 clinicians in this Medicare group

NPI 1629078712 (207) 879-3000

Mainehealth

0.5 mi

Infectious Disease

22 BRAMHALL ST
Portland, ME 04102

Reassigned Medicare billing, Maine enrollment
3,140 clinicians in this Medicare group

NPI 1073701157 (207) 662-3067

Maine Medical Partners

0.5 mi

Pediatric Surgery

887 CONGRESS ST, SUITE 300
Portland, ME 04102

Reassigned Medicare billing, Maine enrollment
188 clinicians in this Medicare group

NPI 1134305386 (207) 662-5555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.28 – $169.96

Typical copayment $0.00 (range $14.07 – $42.49)

Most-billed visit code NA

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

FRANCISCO MANUEL CALLES GARCIA M.D.

Family Medicine (Geriatric Medicine)