Active NPI
Donald Kent, LCSW, CCS
- Clinical Social Worker
- South Portland, ME
National Provider Identifier
1285683763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC4433
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190319000508 | ME | Practitioner - Clinical Social Worker | 6406196013 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCS3265 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| LC4433 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Addiction (Substance Use Disorder) Counselor
- So Portland, ME
- NPI 1881627958
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.