Active NPI
Jessica D Bowers, LCSW
- Clinical Social Worker
- Sumterville, FL
National Provider Identifier
1063695443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW6351 (LCSW)
- Practice address
- 1425 S US 301
Sumterville, FL 33585-5141 - Phone
- (352) 793-5900
- Fax
- (352) 793-6269
- NPI assigned
- Dec 9, 2007
- Last updated
- Oct 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW6351 (LCSW) | FL | Primary |
Addresses
Primary practice location
1425 S US 301
Sumterville, FL 33585-5141
Mailing address
1243 Flamingo PL
The Villages, FL 32162-1754
Phone (352) 661-5967
Other practice location 1
201 E Magnolia Ave
Eustis, FL 32726-3583
Phone (352) 357-1550 ext. 7140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8270 Woodland Ctr Blvd
Tampa, FL 33614-2401
Phone (206) 738-4179
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW6351 (LCSW) | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Occupational Exchange, Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Tampa, FL
- NPI 1780345900
-
- Psychologist
- Bangor, ME
- NPI 1427002138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570924800000",
"number": "1063695443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1243 FLAMINGO PL",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321621754",
"telephone_number": "352-661-5967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 S US 301",
"city": "SUMTERVILLE",
"state": "FL",
"postal_code": "335855141",
"telephone_number": "352-793-5900",
"fax_number": "352-793-6269"
}
],
"practiceLocations": [
{
"address_1": "201 E Magnolia Ave",
"address_purpose": "LOCATION",
"city": "Eustis",
"state": "FL",
"postal_code": "327263583",
"country_code": "US",
"telephone_number": "352-357-1550 x7140",
"fax_number": "352-357-7723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWERS",
"first_name": "JESSICA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-09",
"last_updated": "2019-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW6351 (LCSW)",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumterville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.