Ana Michelle Bowens, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

115285 Issued in CA

Practice address

9500 Gilman Dr
La Jolla, CA 92093-5004

Phone

(917) 882-6631

NPI assigned

Sep 7, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1447036009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4473 NORTH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163940",
            "telephone_number": "917-882-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920935004",
            "telephone_number": "917-882-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWENS",
        "first_name": "ANA",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "115285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Su Yong Boudreau
• Boughton Dermatology
• R Scott Boughton, M.D.
• Diane Mary Bousquin, L.AC
• Kerri N. Boutelle, PHD
• Amy Bowles, PHARMD
• Holly Bowron Hainley, NP-C
• Don Igor Boychuk, MD
• Ayana Jeanine Boyd King, D.O.
• Maja Lavinia Boyd, MSN, RN, AGCNS-BC

• Clinical Social Worker in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.