Individual provider · Type 1 NPI

Kenneth Rautiola, LCSW

Clinical Social Worker · Bangor, ME

NPI number 1639436744 Active

Practice location

40 Summer St
Bangor, ME 04401-7144

Call (207) 945-4240 Map

Other practice locations

  • 1066 Kenduskeag Ave, Bangor, ME 04401-2914 · (207) 299-1944

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker 1041C0700XMC13008 (ME)
Clinical Social Worker Primary 1041C0700XLC14615 (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 1639436744

Kenneth Rautiola, LCSW's National Provider Identifier is 1639436744, issued on Apr 13, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bangor, ME. The record was last updated on Aug 3, 2021.