Mary Anne Stowell, LCSW, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L2934 Issued in OR

Practice address

4511 SE Hawthorne Blvd
Ste 114
Portland, OR 97215-3170

Phone

(503) 408-1759

Fax

(503) 253-1285

NPI assigned

Apr 29, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Mary Anne Stowell LCSW, PC

  • Clinical Social Worker
  • Portland, OR
  • NPI 1326159773
  NPD (past) Authorized official

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1124293113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 SE HAWTHORNE BLVD",
            "address_2": "STE 114",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153170",
            "telephone_number": "503-408-1759",
            "fax_number": "503-253-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 SE HAWTHORNE BLVD",
            "address_2": "STE 114",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153170",
            "telephone_number": "503-408-1759",
            "fax_number": "503-253-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWELL",
        "first_name": "MARY ANNE",
        "credential": "LCSW, PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Sage Stoutenburgh, MSW, LCSW
• Joseph Thomas Stovall II, ESQ., LMT
• Justin Stover
• Marsha Marre Stover, PNP
• Kimber Ria Stovesand, CNM
• John Stowers, DO
• Katie Heintz Stowers, DO
• Nicolas Daniel Stowers
• Darcy Strachan
• Rebecca Strack

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.