Individual provider Active NPI

Wesley Cowan, LCSW

  • Clinical Social Worker
  • Augusta, ME
National Provider Identifier
1710682489
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC21663 Issued in ME
Practice address
9 Green St
Augusta, ME 04330-7451
Phone
(207) 621-3790
NPI assigned
Apr 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC21663 ME Primary

Addresses

Primary practice location

9 Green St
Augusta, ME 04330-7451

Mailing address

9 Green St
Augusta, ME 04330-7451
Phone (207) 621-3790

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
I20230426000896 ME Practitioner - Clinical Social Worker 9032574009 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainegeneral HealthGroup PAC ID 2163316548, 11 clinicians
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

9 Green St
Augusta, ME 04330-7451
Phone (207) 621-3750

Family Medicine Institute
9 Green St
Augusta, ME 04330-7451
Phone (207) 626-1561

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Apr 24, 2023 Accepting new patients
Mainegeneral Health CurrentSince May 13, 2023 Accepting new patients
Mainehealth CurrentSince Jun 12, 2024 Accepting new patients
Mainegeneral Medical Center CurrentSince Apr 24, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Mainegeneral Health CurrentSince May 13, 2023 Accepting new patients
Mainehealth CurrentSince Jun 12, 2024 Accepting new patients
Mainegeneral Medical Center Current Accepting new patients

Locations

9 Green St
Augusta, ME 04330
Phone (207) 621-3700

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1710682489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GREEN ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307451",
            "telephone_number": "207-621-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 GREEN ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307451",
            "telephone_number": "207-621-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "WESLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC21663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.