=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639080013
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MEGAN KEMNA LCSW LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/15/2026
-----------------------------------------------------
Last Update Date | 09/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 113 COLONIAL RD
-----------------------------------------------------
City | PORTLAND
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04102-2043
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-749-9536
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 113 COLONIAL RD
-----------------------------------------------------
City | PORTLAND
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04102-2043
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-749-9536
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICIAN/OWNER
-----------------------------------------------------
Name | MS. MEGAN KEMNA
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 207-749-9536
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------