Shiana Michelle Fowler, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-44306 Issued in ID

Practice address

1400 E Sherman Ave
Coeur D Alene, ID 83814-4044

Phone

(208) 966-4206

Fax

(208) 966-4220

NPI assigned

Oct 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Laviola Psychological Services Inc

  • Psychologist
  • Coeur D Alene, ID
  • NPI 1437809746
  NPD

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1255104550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E SHERMAN AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144044",
            "telephone_number": "208-966-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E SHERMAN AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144044",
            "telephone_number": "208-966-4206",
            "fax_number": "208-966-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "SHIANA",
        "middle_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-44306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fostering Hope Health & Diagnostics LLC
• Gayle Joleen Fothergill, COTA/L
• Alena Noel Fournier, LMT
• Logan B. Foutz, DDS
• Andrea Fowler
• Brianna L Francoeur, DPT
• Sarah Lynn Frank, NP-C
• Ruth Ellen Frantz, CERT. ACUPUNCTURIST
• Floyd Harold Frazier, LCPC
• Keith Frazier

• Social Worker in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.