Courtney Blum Bowles, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.011949 Issued in IL

Practice address

1585 Ellinwood Ave
Ste 106
Des Plaines, IL 60016-4510

Phone

(310) 403-3825

NPI assigned

Jul 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• CBB Counseling, PLLC

  • Adult Mental Health Clinic/Center
  • Des Plaines, IL
  • NPI 1982301446
  NPD Authorized official

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1043418296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 GLENVIEW AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681719",
            "telephone_number": "310-403-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 ELLINWOOD AVE",
            "address_2": "STE 106",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164510",
            "telephone_number": "310-403-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "COURTNEY",
        "middle_name": "BLUM",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athanasios Bonoris, MD
• Aya Bouabdallaoui
• Laura Boulamatsis
• Dorothy Bourgeois
• Gennady Bovkis, CSFA
• Evelyn Gloria Bowman-Goone, DC
• Iancu Bradean, NP
• Larysa Justyna Brandys
• Angela Branson, LCSW
• Aimee E Brasher, M.D.

• Clinical Social Worker in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.