Individual provider Active NPI

Stephanie Bower, LSW

  • Clinical Social Worker
  • Danville, IL
National Provider Identifier
1467096420
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149031896 Issued in IL
Practice address
1101 E Winter Ave
Danville, IL 61832-2295
Phone
(217) 651-6801
Fax
(217) 651-6802
NPI assigned
Nov 3, 2019
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150104020 IL
Clinical Social Worker 1041C0700X 149031896 IL Primary

Addresses

Primary practice location

1101 E Winter Ave
Danville, IL 61832-2295

Mailing address

27293 Potomac Collison Rd
Potomac, IL 61865-3143
Phone (217) 776-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL stephanie@tworoadswellnessclinic.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150104020ILMDSocial Worker

Interoperability endpoints

  • Direct secure messaging: stephanie.bower.1@30412.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1572739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1467096420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27293 POTOMAC COLLISON RD",
            "city": "POTOMAC",
            "state": "IL",
            "postal_code": "618653143",
            "telephone_number": "217-776-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E WINTER AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618322295",
            "telephone_number": "217-651-6801",
            "fax_number": "217-651-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER",
        "first_name": "STEPHANIE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-03",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150104020",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149031896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "stephanie@tworoadswellnessclinic.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1101 E Winter Ave",
            "city": "Danville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618322295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

Verify at the official NPI Registry.