Active NPI
Lisa M Fowler, MSW, LCSW
- Clinical Social Worker
- Fort Hood, TX
National Provider Identifier
1083921548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149 012110
- Practice address
- 36000 Darnall Loop
Carl R. Darnall Medical Center
Fort Hood, TX 76544-5095 - Phone
- (847) 550-9318
- NPI assigned
- Sep 4, 2010
- 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 | 149 012110 | IL | Primary |
Addresses
Primary practice location
36000 Darnall Loop
Carl R. Darnall Medical Center
Fort Hood, TX 76544-5095
Mailing address
36000 Darnall Loop
Carl R. Darnall Medical Center
Fort Hood, TX 76544-5095
Phone (224) 456-2646
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149 012110 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1083921548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36000 DARNALL LOOP",
"address_2": "CARL R. DARNALL MEDICAL CENTER",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "765445095",
"telephone_number": "224-456-2646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36000 DARNALL LOOP",
"address_2": "CARL R. DARNALL MEDICAL CENTER",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "765445095",
"telephone_number": "847-550-9318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "LISA",
"middle_name": "M",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-04",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149 012110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.