Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin Terrence Durant II, LICSW

Individual provider Clinical Social Worker · NPI 1306165188

Kevin Terrence Durant II, LICSW is a Clinical Social Worker in Pawtucket, Rhode Island. Qualified in 2018, 8 years ago. Licensed in Massachusetts and Rhode Island.

Years since qualifying
8
Licensed in
MA, RI
In the registry since
2010
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

103 Bacon St
Pawtucket, RI 02860-5542
Phone: (401) 722-3560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW04838 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence LICSW1142725 (MA)

Record details

NPI number1306165188
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 19, 2010
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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