Kristen Bouse, LCSW is a
Social Worker - Clinical based in Portland, Maine. Kristen Bouse is licensed to practice in Maine (license number LC10053) and her current practice location is
343 Forest Ave, Portland, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 874-1030.
NPI number for Kristen Bouse is 1295820140 and her current mailing address is 343 Forest Ave, Portland, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295820140.
Healthcare Provider's Profile
Full Name | Kristen Bouse |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 343 Forest Ave, Portland, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295820140
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 05/11/2009
Medical Identifiers
Medical identifiers for Kristen Bouse such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295820140 | NPI | - | NPPES |
286000099 | Medicaid | ME | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LC10053 (Maine) | Secondary |
1041C0700X | Social Worker - Clinical | LC10053 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristen Bouse is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kristen Bouse, LCSW 343 Forest Ave, Portland, ME 04101 Ph: (207) 874-1030 | Kristen Bouse, LCSW 343 Forest Ave, Portland, ME 04101 Ph: (207) 874-1030 |
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