Healthcare Provider Details

I. General information

NPI: 1700281706
Provider Name (Legal Business Name): RACHEL ROBINSON BENSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2014
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

557 HAMMOND ST
BANGOR ME
04401-4511
US

IV. Provider business mailing address

203 MAINE AVE
BANGOR ME
04401-4331
US

V. Phone/Fax

Practice location:
  • Phone: 207-973-0505
  • Fax: 207-992-2175
Mailing address:
  • Phone: 207-848-5804
  • Fax: 207-989-4050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLC7567
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number156.0133973TELE
License Number StateVT
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC23442
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: