KELLY M ST CYR (NPI# 1356782502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356782502 |
| Entity Type | Individual |
| Full Name | KELLY M ST CYR |
| Credential | LPC-CC |
| Practice Address |
1 Front St Bath ME 04530-2492 |
| Mailing Address |
375 Main St Rockland ME 04841-3304 |
| Practice Telephone | 2074428118 |
| Practice Fax Number | 2074427692 |
| Mailing Telephone | 2075960359 |
| Mailing Fax Number | 2075960350 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
XL4030 | ME | Behavioral Health & Social Service Providers |
| Street Address |
1 FRONT ST |
| City | BATH |
| State | ME |
| Zip Code | 04530-2492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407869316 | Susan Caldwell Blanchard | Social Worker | 1 Front St, Bath, ME 04530-2562 | 2006-08-14 |
| 1679857601 | Corrective Motion Chiropractic and Rehabilitation Inc. | Chiropractor | 1 Front St, Bath, ME 04530-2492 | 2011-10-10 |
| 1902111347 | Louise Edith Bryant | Chiropractor | 1 Front St, Bath, ME 04530-2492 | 2010-08-10 |
| 1477730646 | Small Potatoes, Pa | Social Worker | 1 Front St, Bath, ME 04530-2562 | 2008-01-29 |
| 1841411428 | Mary Ellen Tennant | Social Worker | 1 Front St, Bath, ME 04530-2492 | 2007-05-01 |
| 1679799530 | Roberta Laurie S. Weber-taft | Social Worker | 1 Front St, Bath, ME 04530-2492 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721230 | Eric Edward Morse | Pharmacy | Wilsens Drug Store, 114 Front St, Bath, ME 04530 | 2020-05-11 |
| 1659825818 | Lacey Andrews Gale | Social Worker | 72 Front St Ste 1, Bath, ME 04530 | 2016-08-05 |
| 1619368024 | Cathleen D Koslosky | Nurse Practitioner | 108 Centre St Ste 200, Bath, ME 04530 | 2015-02-08 |
| 1558760801 | Carrie M Werner | Naturopath | 92 Commercial St, Bath, ME 04530 | 2014-08-21 |
| 1457765125 | Mandy Winne | Massage Therapist | 9 Centre Street, Bath, ME 04530 | 2014-06-20 |
| 1295162618 | Dusty Jones | Behavioral Analyst | 995 Middle Street, Bath, ME 04530 | 2013-09-30 |
| 1659520096 | Tedford Housing-evergreen Woods | Case Management | 10 James Way, Bath, ME 04530 | 2008-09-10 |
| 1467630509 | Nancy Harris Jaeger | Social Worker | 141 Front St, Bath, ME 04530 | 2008-01-31 |
| 1740463009 | Bruce Alan Verrill | Dentist | 42 Front Street, Bath, ME 04530 | 2007-12-10 |
| 1699958249 | Myron K Krueger Md Pa | Internal Medicine | 765 High Street, Bath, ME 04530 | 2007-12-06 |
| Find all providers in zip 04530 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366952871 | Heather Kathleen Dodge | Social Worker | 9 Bowman St, Bath, ME 04530-2304 | 2017-10-10 |
| 1659825818 | Lacey Andrews Gale | Social Worker | 72 Front St Ste 1, Bath, ME 04530 | 2016-08-05 |
| 1295196343 | Angela Swain | Social Worker | 6666 Babcock Hollow Rd, Bath, NY 14810-7773 | 2016-03-17 |
| 1629331665 | Holly J Donovan | Social Worker | 59 Beacon St Apt 1, Bath, ME 04530-2814 | 2012-06-22 |
| 1679858096 | Jean M Wheeler | Social Worker | 216 Maple Heights, Bath, NY 14810 | 2011-10-17 |
| 1811271976 | Anne Dauphinais | Social Worker | 20 Windlass Ct #2, Bath, ME 04530-1840 | 2011-10-06 |
| 1164674677 | Gary L Short | Social Worker | 7634 Campbell Creek Rd, Family Life Ministries, Bath, NY 14810-7612 | 2008-10-15 |
| 1225296601 | Desiree Ostiguy | Social Worker | 348 Washington St, Bath, ME 04530-1722 | 2008-06-02 |
| 1467630509 | Nancy Harris Jaeger | Social Worker | 141 Front St, Bath, ME 04530 | 2008-01-31 |
| 1639296049 | Karen Jo Dilley | Social Worker | 1 Lincoln St Ste 3, Bath, ME 04530-2100 | 2007-03-23 |
| Find all providers in BATH | ||||
Please comment or provide details below to improve the information on KELLY M ST CYR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.