Brooke Daniele Bowman, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

087335 Issued in IA

Practice address

2800 Eastern Ave
Davenport, IA 52803-2012

Phone

(563) 326-6431

NPI assigned

Jan 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Growing Spaces Therapy LLC

  • Clinical Social Worker
  • Davenport, IA
  • NPI 1467301739
  NPD Authorized official
• Family Resources Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Davenport, IA
  • NPI 1275598054
  NPD (past)

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1578036364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 FEDERAL ST STE 1103",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528035780",
            "telephone_number": "563-363-3008",
            "fax_number": "855-234-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 EASTERN AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032012",
            "telephone_number": "563-326-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "BROOKE",
        "middle_name": "DANIELE",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "087335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Christine Boudinot
• Michael L Bovee, D.C.
• Bovenmyer Dermatology PC
• John Allen Bovenmyer, M.D.
• Jeffrey Ryan Bowen, ARNP
• Gracelyn Ann Boyles
• Braaten Health LLC
• Braaten Health Outpatient Services
• Braaten Health, LLC
• Braaten Health, LLC

• Clinical Social Worker in Davenport, IA
• Providers in Davenport, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.