Ellen Grace Cowman, LCSW
Individual provider Active NPI Clinical Social Worker · Granby, CO
NPI 1457768418 · NPPES record last updated Sep 10, 2018
Key facts
- NPI
- 1457768418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW.09924058 (CO)
- Practice address
- 244 East Agate Ave
Granby, CO 80446 - Phone
- (970) 887-2179
- Fax
- (970) 887-9311
- NPI assigned
- Jul 22, 2014
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09924058 | CO | Yes |
Addresses
Primary practice location
244 East Agate Ave
Granby, CO 80446
Mailing address
715 Horizon Dr
Ste 225
Grand Junction, CO 81506-8700
Other names
- Ellen Van Bockern
Other providers in Granby, CO
- Colorado West Regional Mental Health, Inc.
- Colorado West Regional Mental Health, Inc.
- Colorado West Regional Mental Health, Inc.
- Colorado West Regional Mental Health, Inc.
- County of Grand
- Jordyn Crane
- Sandee Cysewski
- Kaitey Davidson
- Dermatology Center of Steamboat Springs, LLC a Professional LLC
- Kathryn Dickson
All providers in Granby, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2018. 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.