Individual provider Active NPI

Jonathan James Bower, MSW, LCSW

  • Clinical Social Worker
  • Anchorage, AK
National Provider Identifier
1437765609
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1441 W Northern Lights Blvd Ste G&H
Anchorage, AK 99503-2324
Phone
(907) 891-0217
NPI assigned
Sep 22, 2020
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 182550 AK
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1441 W Northern Lights Blvd Ste G&H
Anchorage, AK 99503-2324

Mailing address

2900 W 29TH Ave
Anchorage, AK 99517-1700
Phone (907) 891-0217

Other practice location 1

3300 Providence Dr Ste B104
Anchorage, AK 99508-4690
Phone (907) 212-7997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221116002072 TX Practitioner - Clinical Social Worker 4284002635 Reassigns benefits to 1 organization
I20240705000710 AK Practitioner - Clinical Social Worker 4284002635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington Clinical CurrentSince Jun 1, 2024 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Nov 1, 2022 Accepting new patients
Providence Health & Services-Washington Clinical CurrentSince Jun 1, 2024 Accepting new patients
Southcentral Foundation Past Accepting new patients
Denali Family Services PastSince Sep 1, 2020 Accepting new patients
Southcentral Foundation Past Accepting new patients

Locations

3300 Providence Dr
Ste B104
Anchorage, AK 99508
Phone (907) 212-7997

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/denalifs/r4/

Organizations & group practices 6

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": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1437765609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W 29TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171700",
            "telephone_number": "907-891-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 W NORTHERN LIGHTS BLVD STE G&H",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032324",
            "telephone_number": "907-891-0217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Providence Dr Ste B104",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084690",
            "country_code": "US",
            "telephone_number": "907-212-7997",
            "fax_number": "907-212-8225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWER",
        "first_name": "JONATHAN",
        "middle_name": "JAMES",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-22",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "182550",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.