Active NPIIndividual provider

Autumn R Kendal, LCSW

Social Worker, Clinical in Old Town, Maine

NPI Number1205310638
Practice location
203 Stillwater Ave, Old Town, ME 04468-1665
Fax
—
Last updated
September 29, 2026

Autumn Rose Kendal is a Social Worker, Clinical based in Old Town, ME. Autumn Rose Kendal practices in Old Town, ME and has the professional credentials of LCSW. The NPI Number for Autumn Rose Kendal is 1205310638 and holds a License No. LC20123 (ME). The current practice location address for Autumn Rose Kendal is 203 Stillwater Ave, Old Town, ME 04468-1665 and can be reached out via phone at 207-404-8000.

Provider Profile Details

NPI Number
1205310638
Provider Name
Autumn Rose Kendal
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
203 Stillwater Ave, Old Town, ME 04468-1665
Phone Number
207-404-8000
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 21, 2018
Last Update Date
September 29, 2026
Certification Date
September 29, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
203 Stillwater Ave
Old Town, ME 04468-1665
State
Maine
Zip
04468-1665
Phone Number
207-404-8000
Old Town, ME 04468Get directions →

Provider Business Mailing Address Details

Address
Po Box 1599
Bangor, ME 04402-1599
City
Bangor
State
ME
Zip
04402-1599
Phone Number
207-404-8100

License Information

License Number
LC20123
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 Autumn R Kendal, LCSW?

The NPI number of Autumn R Kendal, LCSW is 1205310638. It was assigned on September 21, 2018 and is currently active in the NPPES registry.

What is the specialty of Autumn R Kendal, LCSW?

Autumn R Kendal, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC20123.

Where does Autumn R Kendal, LCSW practice?

The practice location is 203 Stillwater Ave, Old Town, ME 04468-1665. The office can be reached at 207-404-8000 (phone).

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 1205310638 directly on the NPPES registry website.

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