Wilmise Mimise Gowins, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1115 Orange Arbour TRL Apt 403
Ocoee, FL 34761-5315

Phone

(407) 782-0439

NPI assigned

Oct 6, 2010

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1255640322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ORANGE ARBOUR TRL APT 403",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347615315",
            "telephone_number": "407-782-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ORANGE ARBOUR TRL APT 403",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347615315",
            "telephone_number": "407-782-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWINS",
        "first_name": "WILMISE",
        "middle_name": "MIMISE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaneliza S Gonzalez
• Good Homes Pharmacy, LLC
• Charles Goodnough, PA-C
• Carroll Lolita Gordon
• Robert Henry Gordon Sr.
• Gracefully Aging LLC
• Gracefully Aging LLC
• Gracepoint ABA
• Jessica N Grande, PT, DPT, CSCS
• Greater Vision Family Care Home

• Clinical Social Worker in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.

Verify at the official NPI Registry.