KIMBERLY A MILLS (LCSW) – Clinical Social Worker, NPI 1003012253

KIMBERLY A MILLS (LCSW) is a healthcare provider. based in South portland, Maine. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. LC12830 (ME). The NPI Number for KIMBERLY A MILLS (LCSW) is 1003012253

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY A MILLS (LCSW)
NPI
1003012253
Phone
(207) 842-7708
Address
78 ATLANTIC PL
Enumeration Date
25 June 2007
Last Update Date
28 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
4981836541
Group Practice PAC ID
9638135858
Professional Enrollment ID
I20140414000402
Address ID
ME044160000Bu110XXBUCK200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,103 CLINICAL SOCIAL WORKER in ME

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Provider Addresses for KIMBERLY A MILLS (LCSW)

  • 78, Atlantic Place, South Portland, Cumberland County, Maine, 04106, United States

    SOUTH PORTLAND, ME 041062316

    Phone: (207) 842-7708

    Fax: (207) 842-7773

    Type: Mailing

  • Maine Behavioral Healthcare, 12, Union Street, Rockland, Knox County, Maine, 04841, United States

    ROCKLAND, ME 048412739

    Phone: (207) 842-7708

    Fax: (207) 842-7773

    Type: Location

  • PO BOX 1599

    BANGOR, ME 044021599

    Phone: (207) 404-8200

    Fax: (207) 947-0435

    Type: Mailing

  • 86 DAVIS RD

    BANGOR, ME 044012311

    Phone: (207) 992-2205

    Fax: (207) 992-2207

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-04-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140414000402IClinical Social WorkerMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638135858View full group profile
NameSpecialtyState
Family PracticeME
Nurse PractitionerME
Nurse PractitionerME
Orthopedic SurgeryME
Family PracticeME
Nurse PractitionerME
Nurse PractitionerME
Nurse PractitionerME
P O D I A T R YME
Nurse PractitionerKY

Reviews

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Frequently asked questions

What number should I use to identify KIMBERLY A MILLS (LCSW) for billing?
Administrative and clinical systems typically use NPI 1003012253 for KIMBERLY A MILLS (LCSW).
Quick check: is KIMBERLY A MILLS (LCSW) active?
Public NPPES data shows KIMBERLY A MILLS (LCSW) with an active NPI status right now.
How should patients interpret KIMBERLY A MILLS (LCSW)'s specialty?
The extract shows Clinical Social Worker for KIMBERLY A MILLS (LCSW). Clinical services aligned with this taxonomy classification.
Can patients visit KIMBERLY A MILLS (LCSW) in South Portland, Maine?
For routing, start with South Portland, Maine for KIMBERLY A MILLS (LCSW), then verify phone and hours locally.
Why is information missing for KIMBERLY A MILLS (LCSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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