Carol Fowler LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1594-C Issued in AR

Legal business name

CAROL FOWLER LLC

Practice address

3211 SW Briar Creek Ave
Bentonville, AR 72712-7995

Phone

(479) 220-9694

NPI assigned

Feb 2, 2015

Last updated

Sep 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Fowler, LCSWNPI 1245440403

Title

Licensed Cliical Social Worker

Phone

(479) 220-9694

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol Fowler, LCSW

  • Clinical Social Worker
  • Bentonville, AR
  • NPI 1245440403
  Authorized official Same address or phone

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1336539006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 SW BRIAR CREEK AVE",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127995",
            "telephone_number": "479-220-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 SW BRIAR CREEK AVE",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127995",
            "telephone_number": "479-220-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL FOWLER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "LICENSED CLIICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "479-220-9694",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1594-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrna C Carlson, MHPP
• Ryan Carlson
• Teresa Jo Carner
• Kimberly J. Carney, APN
• Robert Carney, LAC
• Corri D Carpenter
• Sean Carpenter
• Stephanie Carpenter, MS, OTR/L
• Christian Mark Carreira
• Christopher B Carter, M.D.

• Clinical Social Worker in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Clinical Social Worker in Arkansas

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