Organization Active NPI

Susan H Bowker, Professional Corp

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1568780229
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149000885 Issued in IL
Legal business name
SUSAN H BOWKER, PROFESSIONAL CORP
Practice address
636 Church St
Suite 619a
Evanston, IL 60201-4508
Phone
(847) 475-2120
Fax
(847) 491-0616
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Susan Haendle Bowker, MSW, LCSW
Title
President
Phone
(847) 475-2120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149000885 IL Primary

Addresses

Primary practice location

636 Church St
Suite 619a
Evanston, IL 60201-4508

Mailing address

636 Church St
Suite 619a
Evanston, IL 60201-4508
Phone (847) 475-2120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1568780229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST",
            "address_2": "SUITE 619A",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014508",
            "telephone_number": "847-475-2120",
            "fax_number": "847-491-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST",
            "address_2": "SUITE 619A",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014508",
            "telephone_number": "847-475-2120",
            "fax_number": "847-491-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN H BOWKER, PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "BOWKER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "HAENDLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-475-2120",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149000885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.