Heather K Gosselin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16837 Issued in ME

Practice address

16 Kids Peace Way
Ellsworth, ME 04605-3483

Phone

(207) 664-1261

Fax

(207) 412-0612

NPI assigned

Oct 7, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704499200000",
    "number": "1174926943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ARCTIC STATION RD",
            "city": "ORRINGTON",
            "state": "ME",
            "postal_code": "044743013",
            "telephone_number": "207-299-1414",
            "fax_number": "207-947-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 KIDS PEACE WAY",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046053483",
            "telephone_number": "207-664-1261",
            "fax_number": "207-412-0612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Arctic Station Rd",
            "address_purpose": "LOCATION",
            "city": "Orrington",
            "state": "ME",
            "postal_code": "044743013",
            "country_code": "US",
            "telephone_number": "207-241-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSSELIN",
        "first_name": "HEATHER",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2024-01-06",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "16837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody (None) Gillen-Worden, LCSW
• Astor Charlene Gillis, B.S., L.A.D.C.
• Peter R Goebel, MD
• Michael Harold Gonyea, O.D.
• Paul David Goodman, M.D.
• Jeffrey S Graham, M.D.
• Julie Ann Graham, FNP
• Adam W Grasso, MD
• Dana L Green, PAC
• Hunt Gressitt, PA

• Clinical Social Worker in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.