Eleanor A Bower, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 2454 Issued in FL

Practice address

119 N Market St
Bushnell, FL 33513-6107

Phone

(352) 793-4126

Fax

(352) 360-6582

NPI assigned

Mar 1, 2007

Last updated

Sep 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Lifestream Behavioral Center Inc

  • Primary Care Clinic/Center
  • Leesburg, FL
  • NPI 1659613776
  NPD (past)
• Lifestream Behavioral Center Inc

  • Psychiatric Hospital
  • Leesburg, FL
  • NPI 1902802002
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1043348253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1898 W C 476",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "335133524",
            "telephone_number": "352-793-4126",
            "fax_number": "352-360-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N MARKET ST",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "335136107",
            "telephone_number": "352-793-4126",
            "fax_number": "352-360-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER",
        "first_name": "ELEANOR",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 2454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768183600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AC851",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kattia Blanco, MD
• Blessed at Home LLC
• Mary Hyacinth Bodenheimer, NURSE PRACTITIONER-C
• Ronnie-Jane Boekema, ARNP
• Allison Bootz, MS, LAT, ATC
• Angel L. Bruno, M.D.
• Bushnell Family and Cosmetic Dentistry PLLC
• Byt Enterprise LLC
• Carefirst Aco, LLC (Premier Healthcare Systems)
• Judy R Carelock

• Clinical Social Worker in Bushnell, FL
• Providers in Bushnell, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.