Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly J Capone-Sprague, LCSW

Individual provider Clinical Social Worker · NPI 1255704219

Kimberly J Capone-Sprague, LCSW is a Clinical Social Worker in Portland, Maine. Qualified in 2015, 11 years ago. Practices with Mainehealth, a 2,615-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
11
Licensed in
ME
In the registry since
2015
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

165 Lancaster St
Portland, ME 04101-2406
Phone: (207) 874-1030
Fax: (207) 874-1044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 49 Atlantic Pl, South Portland, ME 04106-2316 — (207) 771-5700

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC16987 (ME)

Record details

NPI number1255704219
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 12, 2015
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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