Individual provider Active NPI

Guy Joseph Gosselin, LCSW, LADC, CCS

  • Clinical Social Worker
  • Biddeford, ME
National Provider Identifier
1942503354
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC4074 Issued in ME
Practice address
235 Main St
Biddeford, ME 04005-2411
Phone
(207) 294-8695
NPI assigned
Dec 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC19811 ME
Clinical Social Worker 1041C0700X LC4074 ME Primary

Addresses

Primary practice location

235 Main St
Biddeford, ME 04005-2411

Mailing address

235 Main St
Biddeford, ME 04005-2411
Phone (207) 294-8695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: No
  • 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
I20220927001485 ME Practitioner - Clinical Social Worker 2860878956 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC19811MEMDAddiction (Substance Use Disorder) Counselor
LC4074MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Sep 1, 2022 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Sep 1, 2022 Accepting new patients
Merrimack River Medical Services, Inc. Past Accepting new patients
Community Physicians PC Past Accepting new patients

Locations

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

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

Organizations & group practices 5

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": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1942503354",
    "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": "207-294-8695"
        },
        {
            "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": "207-294-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSELIN",
        "first_name": "GUY",
        "middle_name": "JOSEPH",
        "credential": "LCSW, LADC, CCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-08",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC19811",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC4074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.