Active NPI
Sarah C Gourley, LCSW
- Clinical Social Worker
- Portland, ME
National Provider Identifier
1487812152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC13884
- Practice address
- 901 Washington Ave Ste 100
Portland, ME 04103-2842 - Phone
- (207) 871-1200
- Fax
- (207) 871-1232
- NPI assigned
- May 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC13884 | ME | Primary |
Addresses
Primary practice location
901 Washington Ave Ste 100
Portland, ME 04103-2842
Mailing address
901 Washington Ave Ste 100
Portland, ME 04103-2842
Phone (207) 871-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487812152 | Medicaid | ME |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080724000211 | ME | Practitioner - Clinical Social Worker | 1254404239 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
901 Washington Ave
Suite 100
Portland, ME 04103-2842
Phone (207) 871-1200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC13884 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spurwink Services Incorporated | Current | Accepting new patients | |
| Carlos G. Otis Health Care Center Inc. | Past | Accepting new patients | |
| Life by Design | Past | Accepting new patients | |
| Spurwink Services Incorporated | Past | Accepting new patients |
Locations
139 State St
#1
Bangor, ME 04401
901 Washington Ave
Ste 100
Portland, ME 04103
Phone 20787112112145
9 Hillcrest Ave
Randolph, ME 04346
Phone (207) 582-9205
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, ME
- NPI 1760507297
ME
-
- Health Maintenance Organization
- Caribou, ME
- NPI 1316222037
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, ME
- NPI 1316945090
-
- Critical Access Hospital
- Townshend, VT
- NPI 1255337473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1487812152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 WASHINGTON AVE STE 100",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032842",
"telephone_number": "207-871-1200",
"fax_number": "207-871-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 WASHINGTON AVE STE 100",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032842",
"telephone_number": "207-871-1200",
"fax_number": "207-871-1232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOURLEY",
"first_name": "SARAH",
"middle_name": "C",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-29",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC13884",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487812152",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.