Michele K Bowen, LMSW
Individual provider Active NPI Social Worker · Niles, MI
NPI 1346352044 · NPPES record last updated Mar 19, 2014
Key facts
- NPI
- 1346352044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6801085883 (MI)
- Practice address
- 115 S St. Joseph Ave
Niles, MI 49120 - Phone
- (269) 684-4270
- Fax
- (269) 684-4070
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
17192 Cleveland Rd
South Bend, IN 46635-1414
17195 Cleveland Rd
South Bend, IN 46635-1400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070720000902 | MI | Practitioner - Clinical Social Worker | 9234230194 | Reassigns benefits to 2 organizations |
| I20180502001636 | IN | Practitioner - Clinical Social Worker | 9234230194 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801085883 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Immediate Care Center | Current |
Accepting new patients | |
| Lakeland Immediate Care Center | Current |
Accepting new patients | |
| Samaritan Family Health and Counseling Center, Inc. | Current |
Accepting new patients | |
| Grow Healthcare Group PA | Current |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646
17195 Cleveland Rd
South Bend, IN 46635
Phone (574) 277-0274
261 M 62
Cassopolis, MI 49031
Phone (269) 445-3874
250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616
1951 Oak St
Niles, MI 49120
Phone (269) 262-4749
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801085883 | MI | Yes |
Addresses
Primary practice location
115 S St. Joseph Ave
Niles, MI 49120
Mailing address
1485 S M-139
Benton Harbor, MI 49022
Phone (269) 925-0585
Other providers in Niles, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.