Stacia Bowman, BSW
Individual provider Active NPI Social Worker · Antioch, TN
NPI 1437985157 · NPPES record last updated Sep 10, 2024
Key facts
- NPI
- 1437985157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 5353 Cane Ridge Rd Apt 514
Antioch, TN 37013-3820 - Phone
- (731) 694-1146
- NPI assigned
- Sep 10, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
5353 Cane Ridge Rd Apt 514
Antioch, TN 37013-3820
Mailing address
5353 Cane Ridge Rd Apt 514
Antioch, TN 37013-3820
Other providers in Antioch, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.