Johanna Bowen, LCSW
Individual provider Active NPI Clinical Social Worker · Pomona, NY
NPI 1184765331 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1184765331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 42150 (NY)
- Practice address
- 50 Sanitorium Rd
BLDG H
Pomona, NY 10970-3555 - Phone
- (845) 364-2465
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42150 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 42150 | NY | Yes |
Addresses
Primary practice location
50 Sanitorium Rd
BLDG H
Pomona, NY 10970-3555
Mailing address
550 Bullville Rd
Montgomery, NY 12549-1825
Phone (845) 361-4749
Other providers in Pomona, NY
- Bikur Cholim, Inc.
- Michael V Bleyzer
- Sri Ranga Bonam
- Andrea Bonilla
- Howard Borakove
- Nancy Breen
- Bruce Pinker, D.P.M., P.C.
- Bruce Pinker, D.P.M., P.C.
- Catherine Brunner
- Catherine Bunyan
All providers in Pomona, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.