Active NPIIndividual provider

Collin Macgowan, LCSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1548708316
Practice location
217 Gaston St, Medford, MA 02155-1200
Fax
—
Last updated
September 28, 2023

Collin Macgowan is a Social Worker, Clinical based in Medford, MA. Collin Macgowan practices in Medford, MA and has the professional credentials of LCSW. The NPI Number for Collin Macgowan is 1548708316 and holds a License No. 229762 (MA). The current practice location address for Collin Macgowan is 217 Gaston St, Medford, MA 02155-1200 and can be reached out via phone at 774-230-9465.

Provider Profile Details

NPI Number
1548708316
Provider Name
Collin Macgowan
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
217 Gaston St, Medford, MA 02155-1200
Phone Number
774-230-9465
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Collin Macgowan, LCSW (Professional Name)
Provider Enumeration Date
February 1, 2017
Last Update Date
September 28, 2023
Certification Date
September 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
217 Gaston St
Medford, MA 02155-1200
Zip
02155-1200
Phone Number
774-230-9465
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
1968 Central Ave
Needham, MA 02492-1410
City
Needham
State
MA
Zip
02492-1410

License Information

Taxonomy (1)
Case Manager/Care Coordinator · 171M00000X
License Number (2)
229762
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Collin Macgowan, LCSW?

The NPI number of Collin Macgowan, LCSW is 1548708316. It was assigned on February 1, 2017 and is currently active in the NPPES registry.

What is the specialty of Collin Macgowan, LCSW?

Collin Macgowan, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 229762.

Where does Collin Macgowan, LCSW practice?

The practice location is 217 Gaston St, Medford, MA 02155-1200. The office can be reached at 774-230-9465 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548708316 directly on the NPPES registry website.

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