Amos Makaala Wolven, LMSW - CC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MC21757 Issued in ME

Practice address

329 Bath Rd
Brunswick, ME 04011-2673

Phone

(207) 468-5110

NPI assigned

Dec 1, 2022

Sex

Male

Sole proprietor

No

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": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1245940113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 OAK ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302431",
            "telephone_number": "207-975-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 BATH RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112673",
            "telephone_number": "207-468-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLVEN",
        "first_name": "AMOS",
        "middle_name": "MAKAALA",
        "credential": "LMSW - CC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC21757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wise Star Counseling LLC
• Ellen Grace Wise
• Lynn Marie Witten, RN-BC
• Christopher M Wnek, D.M.D.
• Donald R Woloszyn, MD
• Erica Ann Wonson, PHARMD
• Rebecca Wood
• Mary L Woodbury, OTRL
• Mark Worthing, MD
• Chad Wotkowicz, M.D.

• Clinical Social Worker in Brunswick, ME
• Providers in Brunswick, 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 Dec 1, 2022; 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.