Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenneth Rautiola, LCSW

Individual provider Clinical Social Worker · NPI 1639436744

Kenneth Rautiola, LCSW is a Clinical Social Worker in Bangor, Maine. Works from 2 locations. Licensed in Maine.

Licensed in
ME
In the registry since
2012
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

40 Summer St
Bangor, ME 04401-7144
Phone: (207) 945-4240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC14615 (ME)
Clinical Social Worker Taxonomy 1041C0700X
Clinical Social Worker Taxonomy 1041C0700X · Licence MC13008 (ME)

Record details

NPI number1639436744
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 13, 2012
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021
Mailing address40 Summer St, Bangor, ME 04401-7144

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