Provider Demographics
NPI:1639360233
Name:BARTHOLOMEW, KAREN (MSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:BARTHOLOMEW
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 395
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04856-0395
Mailing Address - Country:US
Mailing Address - Phone:202-549-7257
Mailing Address - Fax:
Practice Address - Street 1:11 MAIN ST FL 3
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:ME
Practice Address - Zip Code:04843-1703
Practice Address - Country:US
Practice Address - Phone:202-549-7257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME088771041C0700X
MD064671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCH008OtherBLUE CROSS BLUE SHIELD
DCH008OtherBLUE CROSS BLUE SHIELD