Individual provider Active NPI

Brianna Bowman, LCSW

  • Clinical Social Worker
  • Chesapeake, VA
National Provider Identifier
1205523677
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
829 Saddleback Trail Rd
Chesapeake, VA 23322-8850
Phone
(616) 914-7523
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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 Primary

Addresses

Primary practice location

829 Saddleback Trail Rd
Chesapeake, VA 23322-8850

Mailing address

829 Saddleback Trail Rd
Chesapeake, VA 23322-8850
Phone (616) 914-7523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230720003803 VA Practitioner - Clinical Social Worker 9830559921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuropsychological Services of Tidewater LLCGroup PAC ID 0345507372, 3 clinicians

Practice addresses (Care Compare)

2005 Pleasure House Rd
Virginia Beach, VA 23455-2709
Phone (757) 301-2248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychological Services of Tidewater, LLC CurrentSince Sep 1, 2023 Accepting new patients
Beach Neuropsychology Services LLC PastSince Sep 1, 2023 Accepting new patients

Locations

2005 Pleasure House Rd
Virginia Beach, VA 23455
Phone (757) 301-2248

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1205523677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 SADDLEBACK TRAIL RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228850",
            "telephone_number": "616-914-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 SADDLEBACK TRAIL RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228850",
            "telephone_number": "616-914-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "BRIANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.