Individual provider Active NPI

Rachel Elizabeth Bowers, LISW-S

  • Clinical Social Worker
  • Avon, OH
National Provider Identifier
1144529272
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1100147-SUPV Issued in OH
Practice address
36925 Detroit Rd
Avon, OH 44011-1517
Phone
(440) 508-6742
Fax
(440) 937-8480
NPI assigned
Mar 15, 2011
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1100147-SUPV OH Primary

Addresses

Primary practice location

36925 Detroit Rd
Avon, OH 44011-1517

Mailing address

36925 Detroit Rd
Avon, OH 44011-1517
Phone (440) 508-6742

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

LicenseStateTypeSpecialty
I.1100147-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wollemi Counseling LLC Clinical Current Accepting new patients

Locations

27540 Detroit Rd
Ste 105
Westlake, OH 44145
Phone (440) 476-1410

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1144529272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36925 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111517",
            "telephone_number": "440-508-6742",
            "fax_number": "440-937-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36925 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111517",
            "telephone_number": "440-508-6742",
            "fax_number": "440-937-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1100147-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.