Individual provider Active NPI

Gwen Enid Owen, LICSW

  • Counselor
  • Biddeford, ME
National Provider Identifier
1376708941
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
113175 Issued in MA
Practice address
235 Main St
Biddeford, ME 04005-2411
Phone
(207) 283-7660
Fax
(207) 283-7664
NPI assigned
Jul 23, 2008
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 113175 MA Primary
Clinical Social Worker 1041C0700X LC10129 ME

Addresses

Primary practice location

235 Main St
Biddeford, ME 04005-2411

Mailing address

235 Main St
Biddeford, ME 04005-2411
Phone (207) 283-7660

Other practice location 1

235 Main St Fl 2
Biddeford, ME 04005-2411
Phone (844) 292-0111

Other identifiers 1

IdentifierTypeStateIssuer
1376708941MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220927002189 ME Practitioner - Clinical Social Worker 6709895030 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Behavioral Health Corporation PastSince May 8, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1376708941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MAIN ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052411",
            "telephone_number": "207-283-7660",
            "fax_number": "207-283-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAIN ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052411",
            "telephone_number": "207-283-7660",
            "fax_number": "207-283-7664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Main St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040052411",
            "country_code": "US",
            "telephone_number": "844-292-0111",
            "fax_number": "207-661-8559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "GWEN",
        "middle_name": "ENID",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "113175",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC10129",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376708941",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.