Healthcare Provider Details
I. General information
NPI: 1003735150
Provider Name (Legal Business Name): KARRI CLOHOSEY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
183 PARK ROW STE 2A
BRUNSWICK ME
04011-2023
US
IV. Provider business mailing address
183 PARK ROW STE 2A
BRUNSWICK ME
04011-2023
US
V. Phone/Fax
- Phone: 207-318-8466
- Fax:
- Phone: 207-318-8466
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
KARRI
ELLEN
CLOHOSEY
Title or Position: PSYCHOTHERAPIST
Credential: LCSW
Phone: 207-318-8466