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

Mr. Kevin De Ruiter

Individual provider Clinical Social Worker · NPI 1043767536

Mr. Kevin De Ruiter is a Clinical Social Worker in Portland, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2016

Practice location Address checks out

129 Pine St Apt 6
Portland, ME 04102
Phone: (207) 400-1241
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence MC16062 (ME)

Record details

NPI number1043767536
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 1, 2016
Last updated in NPPESSeptember 1, 2016

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