Individual provider Active NPI

Alisha Katherine Bowker, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1376805531
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
253524 Issued in KY
Practice address
6500 Glenridge Park PL Ste 8
Louisville, KY 40222-3450
Phone
(502) 309-4699
NPI assigned
Jun 13, 2012
Last updated
Oct 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 085031-1 NY
Clinical Social Worker 1041C0700X 084088 NY
Clinical Social Worker 1041C0700X 253524 KY Primary

Addresses

Primary practice location

6500 Glenridge Park PL Ste 8
Louisville, KY 40222-3450

Mailing address

1021 Ellison Ave
Louisville, KY 40204-1903
Phone (818) 632-9703

Other practice location 1

50 Court St
Ste. 901
Brooklyn, NY 11201-4879
Phone (347) 328-8110

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
253524KYMDClinical Social Worker
084088NYMDClinical Social Worker
085031-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Counseling and Wellness, LLC CurrentSince Dec 16, 2020 Accepting new patients

Locations

6500 Glenridge Park Pl
Ste 8
Louisville, KY 40222
Phone (502) 303-2449

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1376805531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 ELLISON AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041903",
            "telephone_number": "818-632-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 GLENRIDGE PARK PL STE 8",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223450",
            "telephone_number": "502-309-4699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Court St",
            "address_2": "Ste. 901",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112014879",
            "country_code": "US",
            "telephone_number": "347-328-8110",
            "fax_number": "347-328-3117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWKER",
        "first_name": "ALISHA",
        "middle_name": "KATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085031-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084088",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.