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

Kelli Star Fox, LCSWLADCCCS

Individual provider Clinical Social Worker · NPI 1952369688

Kelli Star Fox, LCSWLADCCCS is a Clinical Social Worker in Portland, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2006
Specialties on file
2

Practice location Address checks out

4 Demerest St
Portland, ME 04103-4329
Phone: (207) 831-0304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC4378 (ME)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LC689 (ME)

Record details

NPI number1952369688
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWLADCCCS
Sole proprietorYes
NPI enumeratedMay 2, 2006
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020

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