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

Mr. Peter Jeffers Kimball Jr., LCSW

Individual provider Clinical Social Worker · NPI 1023327400

Mr. Peter Jeffers Kimball Jr., LCSW is a Clinical Social Worker in Portland, Maine. Licensed in Maine. Registered with an NPI since 2010.

Licensed in
ME
In the registry since
2010
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

66 State St
Portland, ME 04101-3751
Phone: (207) 871-7431
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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 LC10102 (ME)

Record details

NPI number1023327400
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 1, 2010
Last updated in NPPESOctober 1, 2010

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