Active NPI
Maren Lea McGowan, LCSWA
- Social Worker
- Raleigh, NC
National Provider Identifier
1750058822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P016806
- Practice address
- 3000 Highwoods Blvd
Raleigh, NC 27604-1027 - Phone
- (919) 714-7500
- NPI assigned
- Aug 26, 2021
- Last updated
- Aug 26, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | P016806 | NC | Primary |
Addresses
Primary practice location
3000 Highwoods Blvd
Raleigh, NC 27604-1027
Mailing address
3000 Highwoods Blvd
Raleigh, NC 27604-1027
Phone (919) 714-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 18, 2023 through Dec 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P016806 | NC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Awakenings Counseling | Past | Accepting new patients |
Organizations & group practices 1
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": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1750058822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 HIGHWOODS BLVD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276041027",
"telephone_number": "919-714-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 HIGHWOODS BLVD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276041027",
"telephone_number": "919-714-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "MAREN",
"middle_name": "LEA",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P016806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.