Provider Demographics
NPI:1598252058
Name:LOPER, KIMBERLY N (LCSW)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:N
Last Name:LOPER
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER RD
Mailing Address - Street 2:
Mailing Address - City:MORRILL
Mailing Address - State:ME
Mailing Address - Zip Code:04952-5048
Mailing Address - Country:US
Mailing Address - Phone:207-542-2083
Mailing Address - Fax:
Practice Address - Street 1:3 COOPER RD
Practice Address - Street 2:
Practice Address - City:MORRILL
Practice Address - State:ME
Practice Address - Zip Code:04952-5048
Practice Address - Country:US
Practice Address - Phone:207-542-2083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC172081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical