Individual provider Active NPI

Donald Kent, LCSW, CCS

  • Clinical Social Worker
  • South Portland, ME
National Provider Identifier
1285683763
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC4433 Issued in ME
Practice address
100 Foden Rd Ste 100
South Portland, ME 04106-2327
Phone
(207) 874-1486
NPI assigned
May 10, 2006
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CCS3265 ME
Clinical Social Worker 1041C0700X LC4433 ME Primary

Addresses

Primary practice location

100 Foden Rd Ste 100
South Portland, ME 04106-2327

Mailing address

158 Warwick St
Portland, ME 04102-1115
Phone (207) 838-8901

Other practice location 1

158 Warwick St
Portland, ME 04102
Phone (207) 838-8901

Other practice location 2

650 Main Street
Suite 103
South Portland, ME 04106-5448
Phone (207) 774-4564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190319000508 ME Practitioner - Clinical Social Worker 6406196013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CCS3265MEMDAddiction (Substance Use Disorder) Counselor
LC4433MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Food Addiction Chemical Dependency Consultants LLC Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1285683763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 WARWICK ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021115",
            "telephone_number": "207-838-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FODEN RD STE 100",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062327",
            "telephone_number": "207-874-1486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 Warwick St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "04102",
            "country_code": "US",
            "telephone_number": "207-838-8901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Main Street",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041065448",
            "country_code": "US",
            "telephone_number": "207-774-4564",
            "fax_number": "207-774-0006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENT",
        "first_name": "DONALD",
        "credential": "LCSW, CCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CCS3265",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC4433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.