Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathryn Alison Clark, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164168902

Kathryn Alison Clark, LCSW is an Addiction (Substance Use Disorder) Counselor in Portland, Maine. Licensed in Maine. Registered with an NPI since 2022.

Licensed in
ME
In the registry since
2022
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

535 Ocean Ave Ste 4
Portland, ME 04103-4970
Phone: (207) 370-5389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence MC20209 (ME)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CAC7797 (ME)

Record details

NPI number1164168902
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 5, 2022
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025

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