Courtney Gowen, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

5331 Primrose Lake Cir Ste 209
Tampa, FL 33647-3751

Phone

(727) 871-7665

NPI assigned

May 20, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Radically Open DBT Tampa

  • Clinical Social Worker
  • Lutz, FL
  • NPI 1316567472
  NPD (past)

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1508489915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HENDERSON BLVD STE 405",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295012",
            "telephone_number": "813-445-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 PRIMROSE LAKE CIR STE 209",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473751",
            "telephone_number": "727-871-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWEN",
        "first_name": "COURTNEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "19160",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustavo Govea Falcon
• Deshanie Govender, MD
• Ami Doshi Govindaraju, MS OTR/L
• Dhruvin Govindji
• Erica Govsyeyev, MS, RD, LD/N
• Sierra Ann Gower, C.R.N.A.
• Mallory Gowey, DDS
• Daniel Bradley Gowhari, D.O.
• Camryn Justine Gowing
• Goya Mehdi Enterprise LLC

• Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.