Individual provider Active NPI

Ken E Raffel, LCSW

  • Clinical Social Worker
  • Portland, ME
National Provider Identifier
1952392847
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC5407 Issued in ME
Practice address
30 Milk Street
Portland, ME 04101-5116
Phone
(207) 329-0852
Fax
(207) 839-4704
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC5407 ME Primary

Addresses

Primary practice location

30 Milk Street
Portland, ME 04101-5116

Mailing address

41 Carleton Street
Portland, ME 04102-3225
Phone (207) 329-0852

Other names 1

  • Kenneth E Raffel Other name

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
I20050627001080 ME Practitioner - Clinical Social Worker 6709821069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Portland, ME 04102
Phone (207) 831-5482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Claire Oppenheim LLC Clinical CurrentSince Apr 24, 2010 Accepting new patients
Mental Health Associates of Maine LLC Clinical Past Accepting new patients

Locations

465 Congress St
Ste 700
Portland, ME 04101
Phone (207) 329-0852

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1952392847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CARLETON STREET",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023225",
            "telephone_number": "207-329-0852",
            "fax_number": "207-761-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MILK STREET",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015116",
            "telephone_number": "207-329-0852",
            "fax_number": "207-839-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFEL",
        "first_name": "KEN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "RAFFEL",
            "middle_name": "E",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.