Individual provider · Type 1 NPI

Avery Ruth Grace, LMSW-CC

Clinical Social Worker · Portland, ME

NPI number 1235891979 Active

Practice location

895 Washington Ave
Portland, ME 04103-2737

Call (207) 535-2096 Map

Mailing address

6 Ashley Dr
Scarborough, ME 04074-8954

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XMC26157 (ME)

Clinical Social Worker: 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 interpers…

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About NPI 1235891979

Avery Ruth Grace, LMSW-CC's National Provider Identifier is 1235891979, issued on Oct 11, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, ME. The record was last updated on Aug 31, 2026.