Kelly Jo Bowles, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11089 Issued in FL

Practice address

14803 Forest Rd, #139
Forest, VA 24551-9005

Phone

(386) 385-4748

NPI assigned

Dec 7, 2016

Last updated

Feb 2, 2026By the provider in NPPES

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

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kelly Jo Bowles PLLC

  • Clinical Social Worker
  • Forest, VA
  • NPI 1710453998

  FL

  Medicare reassignment NPD Authorized official
• Patricia Adams Counseling, LLC

  dba Lakeside Counseling and Wellness Center

  • Mental Health Counselor
  • Port Orange, FL
  • NPI 1578951596

  Clinical

  Medicare reassignment NPD
• Patients Choice Medical Care, Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange City, FL
  • NPI 1538898630
  NPD
• Saafe Health Services LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Daytona Beach, FL
  • NPI 1497048284
  NPD

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1093259194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14803 FOREST RD, #139",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245519005",
            "telephone_number": "386-385-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14803 FOREST RD, #139",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245519005",
            "telephone_number": "386-385-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "KELLY",
        "middle_name": "JO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine E Billings, PA
• Blue Current Psychiatry PLC
• Joshua Scott Bomar, OTR/L
• Recie Bomar, RPH
• Katelyn Anne Bosch, D.P.T.
• Jade Audrie Bowman, RBT
• Iyceis Shyetara Bradley
• Alexandra Elizabeth Bradsher, CNM
• Tahmina Haque Brady, M.D.
• Dakari Branch

• Clinical Social Worker in Forest, VA
• Providers in Forest, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.

Verify at the official NPI Registry.