Active NPI
Sheryl Leigh Bowen, LCSW
- Clinical Social Worker
- Bangor, ME
National Provider Identifier
1164513479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC7815
- Practice address
- 61 Main Street
Suite 64
Bangor, ME 04401 - Phone
- (207) 947-4577
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC7815 | ME | |
| Clinical Social Worker | 1041C0700X | LC7815 | ME | Primary |
Addresses
Primary practice location
61 Main Street
Suite 64
Bangor, ME 04401
Mailing address
61 Main Street
Suite 64
Bangor, ME 04401
Phone (207) 947-4577
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046559 | Other | ME | ANTHEM |
| 7366521 | Other | ME | AETNA |
| 11549492 | Other | ME | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC7815 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspring, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Bangor, ME
- NPI 1568694511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1164513479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 MAIN STREET",
"address_2": "SUITE 64",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-947-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 MAIN STREET",
"address_2": "SUITE 64",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-947-4577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "SHERYL",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "LC7815",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC7815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "046559",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7366521",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11549492",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.