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KEVIN GARNER SAMPLE LCSW, LADC
NPI 1740622836
Social Worker - Clinical in Eastport, ME

Active since July 18, 2013
EASTPORT HEALTH CARE, 30 BOYNTON STREET, EASTPORT, ME 04631(207) 853-0185(207) 853-4248 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin Garner Sample Lcsw, Ladc NPPES

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

KEVIN GARNER SAMPLE LCSW, LADC (NPI 1740622836) is an individual clinical provider in Eastport, Maine, licensed in Maine (LC15430) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1740622836
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKEVIN GARNER SAMPLECredential: LCSW, LADC
Location AddressEASTPORT HEALTH CARE, 30 BOYNTON STREETEastport, ME 04631
Mailing AddressPo Box 630Calais, ME 04619-0630 · (207) 751-8712 · Fax (207) 454-0775
Phone(207) 853-0185
Fax(207) 853-4248
Sole ProprietorNo
Enumeration DateJuly 18, 2013
Last NPPES UpdateJuly 1, 2019
✔ NPI 1740622836 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 · LC15430
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.
EASTPORT HEALTH CARE, Eastport, ME 04631
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Other Identifiers 1

Medicaid010276859ME

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 Kevin Sample's NPI number?

The NPI number for Kevin Sample is 1740622836. It was assigned to this individual provider in the NPPES registry on July 18, 2013.

Where is Kevin Sample located?

Kevin Sample practices at Eastport Health Care 30 Boynton Street, Eastport, ME 04631. The listed phone number is (207) 853-0185.

What is Kevin Sample'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 Kevin Sample was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.