Provider Demographics
NPI:1194300368
Name:HIGHLAND, KATELYNE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KATELYNE
Middle Name:
Last Name:HIGHLAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 63
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-0063
Mailing Address - Country:US
Mailing Address - Phone:207-424-2924
Mailing Address - Fax:
Practice Address - Street 1:825 MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-2873
Practice Address - Country:US
Practice Address - Phone:207-494-8010
Practice Address - Fax:207-494-8471
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC231371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical