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NPI Code Detail

MEDICARE: KIMBERLY ANNE LOIKA-SMITH LCSW

MEDICARE: KIMBERLY ANNE LOIKA-SMITH LCSW
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
11041C0700XClinical Social WorkerLC15069ME

General Provider Information

NPI Number : 1669877676
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANNE LOIKA-SMITH LCSW
Provider Business Mailing Address
First Line : 78 ATLANTIC PL
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-2316
Country : US
Telephone Number : 207-661-6654
Fax Number : 207-842-7773
Provider Business Practice Location Address
First Line : 236 GANNETT DR
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-6913
Country : US
Telephone Number : 207-661-3600
Fax Number : 207-761-0783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2014
Last Update Date : 07/14/2016

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Directions to “ KIMBERLY ANNE LOIKA-SMITH LCSW” Practice Location

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