=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659052306
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KATE MAGINN LCSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/26/2023
-----------------------------------------------------
Last Update Date | 11/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 61 MAIN ST STE 73
-----------------------------------------------------
City | BANGOR
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04401-8300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-266-3375
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 122 COTTAGE ST
-----------------------------------------------------
City | BAR HARBOR
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04609-1410
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-266-3375
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | MC22754
-----------------------------------------------------
License Number State | ME
-----------------------------------------------------