MEDICARE: KATHERINE KAUFMANN LMSW-CC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	MC15067	ME

General Provider Information

NPI Number	:	1164828158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE KAUFMANN LMSW-CC

Provider Business Mailing Address
First Line	:	386 PARK AVE
Second Line	:
City	:	AUBURN
State	:	ME
Zip	:	04210-4121
Country	:	US
Telephone Number	:	207-751-6747
Fax Number	:

Provider Business Practice Location Address
First Line	:	38 FALCON DR
Second Line	:
City	:	AUBURN
State	:	ME
Zip	:	04210-4384
Country	:	US
Telephone Number	:	207-777-5888
Fax Number	:	207-777-5802

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2014
Last Update Date	:	01/08/2026

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