Active NPI
Guy Joseph Gosselin, LCSW, LADC, CCS
- Clinical Social Worker
- Biddeford, ME
National Provider Identifier
1942503354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC4074
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC19811 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| LC4074 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | 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.
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Obstetrics & Gynecology Physician
- Portland, ME
- NPI 1679887277
-
- Methadone Clinic
- Portland, ME
- NPI 1316242209
-
dba Health Care Resource Centers
- Substance Use Disorder Rehabilitation Clinic/Center
- Portland, ME
- NPI 1912233826
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.