Individual provider · Type 1 NPI

Kevin Terrence Durant Ii, LICSW

Clinical Social Worker · Pawtucket, RI

NPI number 1306165188 Active

Practice location

103 Bacon St
Pawtucket, RI 02860-5542

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	ISW04838 (RI)
Clinical Social Worker	1041C0700X	LICSW1142725 (MA)

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 1306165188

Kevin Terrence Durant Ii, LICSW's National Provider Identifier is 1306165188, issued on May 19, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pawtucket, RI. The record was last updated on Jun 5, 2026.