Active NPI
Raymond Bowen, LCSW
- Clinical Social Worker
- Conroe, TX
National Provider Identifier
1124491279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 66034
- Practice address
- 2443 FM 1488 Rd Apt 4201
Conroe, TX 77384-4943 - Phone
- (225) 773-2269
- NPI assigned
- Nov 10, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 17160 | LA | |
| Clinical Social Worker | 1041C0700X | 66034 | TX | Primary |
Addresses
Primary practice location
2443 FM 1488 Rd Apt 4201
Conroe, TX 77384-4943
Mailing address
2443 FM 1488 Rd Apt 4201
Conroe, TX 77384-4943
Other practice location 1
10830 Greenwell Springs Rd
Baton Rouge, LA 70814-5014
Phone (225) 326-9166
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 |
|---|---|---|---|
| 17160 | LA | MD | Clinical Social Worker |
| 66034 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eco Behavioral Health Coalition | Counselor | Past | Accepting new patients |
| New Hope Intensive Outpatient Substance Abuse Clinic | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Baton Rouge, LA
- NPI 1235021619
Counselor
-
- Case Management Agency
- Baton Rouge, LA
- NPI 1164895215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1124491279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2443 FM 1488 RD APT 4201",
"city": "CONROE",
"state": "TX",
"postal_code": "773844943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2443 FM 1488 RD APT 4201",
"city": "CONROE",
"state": "TX",
"postal_code": "773844943",
"telephone_number": "225-773-2269"
}
],
"practiceLocations": [
{
"address_1": "10830 Greenwell Springs Rd",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708145014",
"country_code": "US",
"telephone_number": "225-326-9166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWEN",
"first_name": "RAYMOND",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-10",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "17160",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "66034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.