Susan Caroline Bowles, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P020734 Issued in NC

Practice address

1319 N Brightleaf Blvd Ste F
Smithfield, NC 27577-4876

Phone

(919) 934-1312

NPI assigned

Sep 16, 2021

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

Other names 1

• Susan Bowles Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1760420186

  Clinical

  NPD (past)
• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, NC
  • NPI 1821136581
  NPD (past)

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1073283537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 S SUSSEX DR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774743",
            "telephone_number": "919-896-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 N BRIGHTLEAF BLVD STE F",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774876",
            "telephone_number": "919-934-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "SUSAN",
        "middle_name": "CAROLINE",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BOWLES",
            "credential": "LCSWA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julie H Bledsoe, PT
• Carly Blystone
• Jessica Keren Boc, DDS
• Jennifer Annette Borders, MA. CCC-SLP
• Hajar Boucteb
• Allison Jean Boyke, LPCA
• Susan M. Boykin, D.D.S.
• Cayce Bradley Johnson, DPT
• Siobhan Claire Brennan, PNP
• Brewer Counseling Agency, PLLC

• Clinical Social Worker in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.