Individual provider Active NPI

Sarah Jane Bowie, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1154820967
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149018120 Issued in IL
Practice address
911 N Trumbull Ave
Chicago, IL 60651-4043
Phone
(718) 938-4174
Fax
(718) 938-4174
NPI assigned
Feb 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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 149018120 IL Primary

Addresses

Primary practice location

911 N Trumbull Ave
Chicago, IL 60651-4043

Mailing address

911 N Trumbull Ave
Chicago, IL 60651-4043
Phone (718) 938-4174

Other names 1

  • Sarah Jane Gluck Former name

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
149018120ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Love Liberates Clinical Current Accepting new patients
Love Liberates Clinical Current Accepting new patients

Locations

3717 N Ravenswood Ave
Ste 211
Chicago, IL 60613
Phone (347) 543-9697

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": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1154820967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 N TRUMBULL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514043",
            "telephone_number": "718-938-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N TRUMBULL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514043",
            "telephone_number": "718-938-4174",
            "fax_number": "718-938-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWIE",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GLUCK",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.