Alisha Gowen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5869439-3501 Issued in UT

Practice address

89 W Main St
Vernal, UT 84078-2535

Phone

(435) 790-1524

NPI assigned

Jun 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663459200000",
    "number": "1184285819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 W MAIN ST",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782535",
            "telephone_number": "435-790-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 W MAIN ST",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782535",
            "telephone_number": "435-790-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWEN",
        "first_name": "ALISHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2022-09-18",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "5869439-3503",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5869439-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOPL",
            "identifier": "5869439-3503",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOPL",
            "identifier": "5869439-3501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalie Glines, LMT
• Teesha Gonzalez
• Good Shepherd Homecare and Hospice of Eastern Utah, Inc.
• Dan Bernard Goodkind, PH.D.
• Renette Fay Goodrich
• Dylan Graff, LCSW
• Jennifer Green
• Kira Greene
• John Griffith, MD
• Holly C Hacking, RN

• Clinical Social Worker in Vernal, UT
• Providers in Vernal, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.