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

MS. Kristina Marie Lauderback, MSS, MLSP, LCSW

Individual provider Clinical Social Worker · NPI 1710221890

MS. Kristina Marie Lauderback, MSS, MLSP, LCSW is a Clinical Social Worker in Porter, Maine. Qualified in 2008, 18 years ago. Practices with Sacopee Valley Health Center, a 19-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
18
Licensed in
ME
In the registry since
2012
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

70 Main St
Porter, ME 04068-3527
Phone: (207) 625-8126
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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 LC18460 (ME)

Record details

NPI number1710221890
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSS , MLSP , LCSW
Sole proprietorYes
NPI enumeratedNovember 15, 2012
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Sacopee Valley Health Center — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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