Provider Demographics
NPI:1821564170
Name:KEMP, TAYLOR MARIE (LMSW-CC, CADC)
Entity Type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:MARIE
Last Name:KEMP
Suffix:
Gender:F
Credentials:LMSW-CC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:NORWAY
Mailing Address - State:ME
Mailing Address - Zip Code:04268
Mailing Address - Country:US
Mailing Address - Phone:207-739-2644
Mailing Address - Fax:207-739-2467
Practice Address - Street 1:235 MAIN STREET
Practice Address - Street 2:
Practice Address - City:NORWAY
Practice Address - State:ME
Practice Address - Zip Code:04268
Practice Address - Country:US
Practice Address - Phone:207-739-2644
Practice Address - Fax:207-739-2467
Is Sole Proprietor?:No
Enumeration Date:2018-10-15
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
MECAC6237101YA0400X
MEMC20536104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)