Individual provider Active NPI

Venessa A Bowers, LCSW-C

  • Clinical Social Worker
  • Parsonsburg, MD
National Provider Identifier
1164720124
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20727 Issued in MD
Practice address
PO Box 297
Parsonsburg, MD 21849-0297
Phone
(317) 525-7818
NPI assigned
Mar 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904016031 VA
Clinical Social Worker 1041C0700X LC23530 ME
Clinical Social Worker 1041C0700X Q1-0012203 DE
Clinical Social Worker 1041C0700X 34006748A IN
Clinical Social Worker 1041C0700X 20727 MD Primary

Addresses

Primary practice location

PO Box 297
Parsonsburg, MD 21849-0297

Mailing address

PO Box 297
Parsonsburg, MD 21849-0297
Phone (410) 205-9177

Other identifiers 8

IdentifierTypeStateIssuer
7840093OtherMDAETNA
LM49EAOtherMDCAREFIRST LOCAL
609550004MedicaidMD
609550001MedicaidMH
259147-000OtherMHMAGELLAN BEHAVIORAL HEALTH
R968OtherMDCAREFIRST BCBS
346646OtherMDMHN
517251OtherMDOPTUM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MD, DE, DC, NH5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20140103001313 IN Practitioner - Clinical Social Worker 6305074907 Reassigns benefits to 1 organization
I20150513001176 MD Practitioner - Clinical Social Worker 6305074907 Reassigns benefits to 2 organizations
I20240518000169 DE Practitioner - Clinical Social Worker 6305074907 Reassigns benefits to 1 organization
I20240531000027 DC Practitioner - Clinical Social Worker 6305074907 Reassigns benefits to 1 organization
I20250205002576 NH Practitioner - Clinical Social Worker 6305074907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7871 Crofton Dr
Parsonsburg, MD 21849-2539
Phone (410) 205-9177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34006748AINMDClinical Social Worker
20727MDMDClinical Social Worker
LC23530MEMDClinical Social Worker
0904016031VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Personal Wellness Center CurrentSince Jun 27, 2017 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Apr 24, 2024 Accepting new patients
The Holistic Hive Clinical CurrentSince Jun 16, 2024 Accepting new patients

Locations

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

6508 Deer Pointe Dr
Ste 4C
Salisbury, MD 21804
Phone (410) 742-6016

170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

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": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1164720124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "PARSONSBURG",
            "state": "MD",
            "postal_code": "218490297",
            "telephone_number": "410-205-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "PARSONSBURG",
            "state": "MD",
            "postal_code": "218490297",
            "telephone_number": "317-525-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "VENESSA",
        "middle_name": "A",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016031",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC23530",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012203",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006748A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7840093",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST LOCAL",
            "identifier": "LM49EA",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550004",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550001",
            "state": "MH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALTH",
            "identifier": "259147-000",
            "state": "MH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "R968",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "346646",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "517251",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsonsburg, MD

Sources for this page

Verify at the official NPI Registry.