Trailhead Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TRAILHEAD THERAPY

Practice address

131 Oak St
Bath, ME 04530-2431

Phone

(207) 200-6653

NPI assigned

Feb 25, 2025

Last updated

Feb 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amos Wolven, LCSW

Title

Owner / LCSW

Phone

(207) 200-6653

Specialties & licenses 1

Addresses

Other names 1

• Amos Wolven Other name

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1336946664",
    "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": "207-200-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 OAK ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302431",
            "telephone_number": "207-200-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILHEAD THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "WOLVEN",
        "authorized_official_first_name": "AMOS",
        "authorized_official_title_or_position": "OWNER / LCSW",
        "authorized_official_telephone_number": "207-200-6653",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amos Wolven",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in Bath, ME
• Providers in Bath, 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 Feb 25, 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.

Verify at the official NPI Registry.