Linda Marie Bowman, L.I.C.S.W.
Individual provider Active NPI Clinical Social Worker · Baxter, MN
NPI 1053547299 · NPPES record last updated Mar 10, 2011
Key facts
- NPI
- 1053547299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1568 (MN)
- Practice address
- 13397 Shadow Wood Drive
Baxter, MN 56425 - Phone
- (218) 251-3780
- NPI assigned
- Jun 2, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1568 | MN | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1568 | MN | Yes |
Addresses
Primary practice location
13397 Shadow Wood Drive
Baxter, MN 56425
Mailing address
13397 Shadow Wood Drive
Baxter, MN 56425
Phone (218) 251-3780
Other providers in Baxter, MN
- Blair Boileau
- Alexis Ann Bonney
- Kaila Marie Borchardt
- Heather Jean Boring
- Rick William Boser
- Brainerd Area Orthodontics, LLC
- Brainerd Lakes Surgery Center L L C
- Brainerd Lakes Wellness, PC
- Brainerd Medical Center Inc
- Brainerd Medical Center Inc
All providers in Baxter, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.