Active NPIIndividual provider

Kyle A Reniche, LCSW

Social Worker, Clinical in Rockland, Maine

NPI Number1013164888
Practice location
12 Union St, Rockland, ME 04841-2739
Fax
207-701-4486
Last updated
December 7, 2011

Kyle A. Reniche is a Social Worker, Clinical based in Rockland, ME. Kyle A. Reniche practices in Rockland, ME and has the professional credentials of LCSW. The NPI Number for Kyle A. Reniche is 1013164888 and holds a License No. LC 8308 (ME). The current practice location address for Kyle A. Reniche is 12 Union St, Rockland, ME 04841-2739 and can be reached out via phone at 207-701-4402 and via fax at 207-701-4486.

Provider Profile Details

NPI Number
1013164888
Provider Name
Kyle A. Reniche
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
12 Union St, Rockland, ME 04841-2739
Phone Number
207-701-4402
Fax Number
207-701-4486
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 25, 2008
Last Update Date
December 7, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Union St
Rockland, ME 04841-2739
State
Maine
Zip
04841-2739
Phone Number
207-701-4402
Fax Number
207-701-4486
Rockland, ME 04841Get directions →

Provider Business Mailing Address Details

Address
78 Atlantic Place
South Portland, ME 04106-2316
City
South Portland
State
ME
Zip
04106-2316
Phone Number
207-842-6556
Fax Number
207-842-7773

License Information

License Number
LC 8308
License State
ME
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kyle A Reniche, LCSW?

The NPI number of Kyle A Reniche, LCSW is 1013164888. It was assigned on August 25, 2008 and is currently active in the NPPES registry.

What is the specialty of Kyle A Reniche, LCSW?

Kyle A Reniche, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC 8308.

Where does Kyle A Reniche, LCSW practice?

The practice location is 12 Union St, Rockland, ME 04841-2739. The office can be reached at 207-701-4402 (phone) or 207-701-4486 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013164888 directly on the NPPES registry website.

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