Individual provider Active NPI

Wyatt R Bowman, LISW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1053057075
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2103147 Issued in OH
Practice address
76 W Como Ave
Columbus, OH 43202-1026
Phone
(614) 685-9244
NPI assigned
May 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2103147 OH Primary

Addresses

Primary practice location

76 W Como Ave
Columbus, OH 43202-1026

Mailing address

76 W Como Ave
Columbus, OH 43202-1026
Phone (614) 685-9244

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wyattbowman@therapyemail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I.2103147OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transpire Therapy LLP Clinical CurrentSince Jul 1, 2024 Accepting new patients
Ohio Addiction Recovery Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1053057075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 W COMO AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021026",
            "telephone_number": "614-685-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W COMO AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021026",
            "telephone_number": "614-685-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "WYATT",
        "middle_name": "R",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2103147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wyattbowman@therapyemail.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "76 W Como Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432021026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.