Individual provider Active NPI

Julie A Gower, LSW

  • Social Worker
  • Kingwood, WV
National Provider Identifier
1265040927
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
AP00938990 Issued in WV
Practice address
17548 Veterans Memorial Hwy
Kingwood, WV 26537-9797
Phone
(304) 441-2001
Fax
(304) 441-2009
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X AP00938990 WV
Prevention Professional 405300000X AP00938990 WV
Social Worker 104100000X AP00938990 WV Primary

Addresses

Primary practice location

17548 Veterans Memorial Hwy
Kingwood, WV 26537-9797

Mailing address

17548 Veterans Memorial Hwy
Kingwood, WV 26537-9797
Phone (304) 441-2001

Other identifiers 1

IdentifierTypeStateIssuer
AP00938990OtherWVWV BOARD OF SOCIAL WORK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP00938990WVMDPrevention Professional

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Health Care Services LLC CurrentSince Aug 2, 2020 Accepting new patients

Locations

17548 Veterans Memorial Hwy
Kingwood, WV 26537
Phone (304) 329-6979

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.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1265040927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17548 VETERANS MEMORIAL HWY",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265379797",
            "telephone_number": "304-441-2001",
            "fax_number": "304-441-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17548 VETERANS MEMORIAL HWY",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265379797",
            "telephone_number": "304-441-2001",
            "fax_number": "304-441-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWER",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "WV",
            "license": "AP00938990",
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "WV",
            "license": "AP00938990",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "AP00938990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOARD OF SOCIAL WORK",
            "identifier": "AP00938990",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.