Active NPI
Marylyn Beeson Bowman, LCSW
- Clinical Social Worker
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904015512
- Practice address
- 1099 18TH St Ste 8000
Denver, CO 80202-1908 - Phone
- (844) 257-1461
- NPI assigned
- Jun 6, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW0000004943 | TN | |
| Clinical Social Worker | 1041C0700X | 0904015512 | VA | Primary |
Addresses
Primary practice location
1099 18TH St Ste 8000
Denver, CO 80202-1908
Mailing address
1099 18TH St Ste 8000
Denver, CO 80202-1908
Phone (844) 257-1461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Florida International Univ, College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11825 Rock Landing Dr
Newport News, VA 23606-4236
Phone (757) 873-1736
999 Waterside Dr
Suite 2525
Norfolk, VA 23510-3316
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000004943 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Rock Landing Psychological Group PLC | Clinical | Current | Accepting new patients |
Locations
11825 Rock Landing Dr
Newport News, VA 23606
Phone (757) 873-1736
999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1124254990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 18TH ST STE 8000",
"city": "DENVER",
"state": "CO",
"postal_code": "802021908",
"telephone_number": "844-257-1461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 18TH ST STE 8000",
"city": "DENVER",
"state": "CO",
"postal_code": "802021908",
"telephone_number": "844-257-1461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "MARYLYN",
"middle_name": "BEESON",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-06",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000004943",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904015512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.