Blair Marini Bowman, LCSW, CEDS-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904013164 Issued in VA

Practice address

406 W Franklin St Ste 201
Richmond, VA 23220-4906

Phone

(804) 596-5201

NPI assigned

Dec 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Blair Elizabeth Marini Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704499200000",
    "number": "1467090886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 GRAYLAND AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232205103",
            "telephone_number": "704-771-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W FRANKLIN ST STE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204906",
            "telephone_number": "804-596-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "BLAIR",
        "middle_name": "MARINI",
        "credential": "LCSW, CEDS-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2024-01-06",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012996",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIR",
            "last_name": "MARINI",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Leigh Bowles, MD
• Amber Lea Bowlin, MSN, APRN, NP-C
• Christina Sherelle Bowman-Peterson, MSW
• Angela James Bowman, COTA
• Barbara J Bowman, CRNA
• Charmese C Bowman, NP
• David Bowman, CEO
• David M. Bowman, M.D.
• Heather Bowman
• Heather A Bowman

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2024; 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.