Provider Demographics
NPI:1346633252
Name:HAFEMANN, KARLENE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KARLENE
Middle Name:
Last Name:HAFEMANN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 OCEAN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-7228
Mailing Address - Country:US
Mailing Address - Phone:207-245-0525
Mailing Address - Fax:
Practice Address - Street 1:10 OCEAN VIEW RD
Practice Address - Street 2:
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-7228
Practice Address - Country:US
Practice Address - Phone:207-245-0525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-17
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC152971041C0700X
MELC166221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MELC16622OtherSOCIAL WORK LICENSING BOARD