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MR. KEN E RAFFEL LCSW
NPI 1952392847
Social Worker - Clinical in Portland, ME

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
30 MILK STREET, PORTLAND, ME 04101(207) 329-0852(207) 839-4704 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Ken E Raffel Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEN E RAFFEL LCSW (NPI 1952392847) is an individual clinical provider in Portland, Maine, licensed in Maine (LC5407) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1952392847
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KEN E RAFFELCredential: LCSW
Location Address30 MILK STREETPortland, ME 04101-5116
Mailing Address41 Carleton StreetPortland, ME 04102-3225 · (207) 329-0852 · Fax (207) 761-8150
Phone(207) 329-0852
Fax(207) 839-4704
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 31, 2005
Last NPPES UpdateOctober 8, 2012
✔ NPI 1952392847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ME · LC5407
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
30 MILK STREET, Portland, ME 04101
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Other Names 1

Other Name (5)Kenneth E Raffel Lcsw

Other Identifiers 1

Medicare ID-Type UnspecifiedMM7261ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ken E Raffel Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709821069
PECOS Enrollment IDI20050627001080
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ken Raffel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Claire Oppenheim LLC
0.1 mi
Clinical
75 PEARL ST, SUITE 410
Portland, ME 04101
  • Reassigned Medicare billing, Maine enrollment
  • 2 clinicians in this Medicare group
NPI 1144466152 (207) 773-0050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ken Raffel's NPI number?

The NPI number for Ken Raffel is 1952392847. It was assigned to this individual provider in the NPPES registry on October 31, 2005. The provider is also known as Kenneth E Raffel Lcsw.

Where is Ken Raffel located?

Ken Raffel practices at 30 Milk Street, Portland, ME 04101. The listed phone number is (207) 329-0852.

What is Ken Raffel's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ken Raffel enrolled in Medicare?

Yes. Ken Raffel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ken Raffel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ken Raffel reassigns Medicare benefits to Claire Oppenheim LLC (Portland, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ken Raffel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ken Raffel accept?

Health plans from Anthem Blue Cross and Blue Shield list Ken Raffel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ken Raffel was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.