Monique Leeann Bowman

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ACSW95052 Issued in CA

Practice address

23311 Dracaea Ave
Moreno Valley, CA 92553-3201

Phone

(951) 571-7500

NPI assigned

Oct 22, 2019

Last updated

Nov 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• For the Child, Inc.

  • Voluntary or Charitable Agency
  • Long Beach, CA
  • NPI 1144354275
  NPD (past)

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1023651197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23311 DRACAEA AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533201",
            "telephone_number": "951-571-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23311 DRACAEA AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533201",
            "telephone_number": "951-571-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "MONIQUE",
        "middle_name": "LEEANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW95052",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ACSW95052",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ACSW95052",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diwata Hope Abeleda Bose, MD
• Chevelle Marie Bourdon, LCSW 99121
• Danny Bouz, DO
• Tony Bouz
• Isidra Bowie
• Marina Boyarsky, M.D.
• Shennekka Boyd, LVN
• Taunya Maria Boykins, RN
• Cassandra Marie Bozarth, MSW, ASW
• BR4 Properties & Investments, LLC (Rise Above Sober Homes)

• Social Worker in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.