Active NPI
Jennifer Bowman, LCSW-C
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1184901555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15431
- Practice address
- 3108 Fait Ave
Baltimore, MD 21224-3923 - Phone
- (443) 695-4913
- NPI assigned
- Nov 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15431 | MD | Primary |
Addresses
Primary practice location
3108 Fait Ave
Baltimore, MD 21224-3923
Mailing address
3108 Fait Ave
Baltimore, MD 21224-3923
Phone (443) 695-4913
Other practice location 1
3600 Roland Ave
Baltimore, MD 21211-2437
Phone (410) 929-5543
Other practice location 2
19 N East Ave
Baltimore, MD 21224-1424
Phone (443) 695-4913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15431 | MD | MD | General Practice Dentistry |
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1184901555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3108 FAIT AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243923",
"telephone_number": "443-695-4913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3108 FAIT AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243923",
"telephone_number": "443-695-4913"
}
],
"practiceLocations": [
{
"address_1": "3600 Roland Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212112437",
"country_code": "US",
"telephone_number": "410-929-5543",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19 N East Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212241424",
"country_code": "US",
"telephone_number": "443-695-4913",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWMAN",
"first_name": "JENNIFER",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-13",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "15431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.