Active NPI
Nicole Kramer Bowman, MSW, LCSW
- Clinical Social Worker
- Pensacola, FL
National Provider Identifier
1487038220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW14859
- Practice address
- 8354 N. Davis Hwy
Suite 200
Pensacola, FL 32504 - Phone
- (850) 516-5592
- NPI assigned
- Jul 10, 2015
- Last updated
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | SW14859 | FL | |
| Clinical Social Worker | 1041C0700X | SW14859 | FL | Primary |
Addresses
Primary practice location
8354 N. Davis Hwy
Suite 200
Pensacola, FL 32504
Mailing address
8354 N. Davis Hwy
Suite 200
Pensacola, FL 32514
Phone (850) 436-4630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2315 W Jackson St
Pensacola, FL 32505-7552
Phone (850) 436-4630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW14859 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ljak Enterprises LLC | Current | Accepting new patients |
Locations
8354 N Davis Hwy
Ste 200
Pensacola, FL 32514
Phone (850) 516-5592
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Pensacola, FL
- NPI 1518971597
-
dba Ellie Mental Health - NW Florida
- Mental Health Counselor
- Pensacola, FL
- NPI 1942992029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1487038220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8354 N. DAVIS HWY",
"address_2": "SUITE 200",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32514",
"telephone_number": "850-436-4630",
"fax_number": "850-436-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8354 N. DAVIS HWY",
"address_2": "SUITE 200",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32504",
"telephone_number": "850-516-5592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "NICOLE",
"middle_name": "KRAMER",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-10",
"last_updated": "2024-08-01",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "SW14859",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW14859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.