Individual provider Active NPI

Susan Rene Fowler, LISW

  • Social Worker
  • Iowa City, IA
National Provider Identifier
1578029211
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
094194 Issued in IA
Practice address
4914 Sharon Center Rd SW
Iowa City, IA 52240-8561
Phone
(319) 381-0442
NPI assigned
Feb 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 094194 IA Primary

Addresses

Primary practice location

4914 Sharon Center Rd SW
Iowa City, IA 52240-8561

Mailing address

4914 Sharon Center Rd SW
Iowa City, IA 52240-8561
Phone (319) 381-0442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211117000997 IA Practitioner - Clinical Social Worker 6204225006 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Southern California Keck School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meadowlark Partners LLCGroup PAC ID 8921331836, 32 clinicians

Practice addresses (Care Compare)

320 W Cherry St
Meadowlark Psychiatric Services
North Liberty, IA 52317-8819
Phone (319) 626-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Counseling LLC CurrentSince Feb 9, 2025 Accepting new patients
Optimae Lifeservices, Inc, CurrentSince Nov 3, 2021 Accepting new patients
Optimae Lifeservices,Inc. Current Accepting new patients
Talkspace Provider Network PA CurrentSince Feb 23, 2025 Accepting new patients
Meadowlark Partners LLC CurrentSince Jan 9, 2025 Accepting new patients
Nurse in the House, Inc. Past Accepting new patients

Locations

2201 W Jefferson Ave
Fairfield, IA 52556
Phone (641) 472-1684

301 W Burlington Ave
Fairfield, IA 52556
Phone (641) 472-1684

605 E Winfield Ave
Mt Pleasant, IA 52641
Phone (319) 385-8051

320 W Cherry St
North Liberty, IA 52317
Phone (319) 626-3300

2175 Lexington Blvd
Bldg 2
Washington, IA 52353
Phone (319) 653-6161

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1578029211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 SHARON CENTER RD SW",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522408561",
            "telephone_number": "319-381-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 SHARON CENTER RD SW",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522408561",
            "telephone_number": "319-381-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "SUSAN",
        "middle_name": "RENE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "094194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.