Organization Active NPI

Julie B Gowen PLLC

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1609168111
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26712 Issued in TX
Legal business name
JULIE B GOWEN PLLC
Practice address
16607 Blanco Rd
Suite 12101
San Antonio, TX 78232-1913
Phone
(210) 219-4991
Fax
(210) 399-0751
NPI assigned
May 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Julie Gowen, LCSWNPI 1033294046
Title
Licensed Clinical Social Worker
Phone
(210) 219-4991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 26712 TX Primary

Addresses

Primary practice location

16607 Blanco Rd
Suite 12101
San Antonio, TX 78232-1913

Mailing address

10106 Lorene LN
San Antonio, TX 78216-4407

Other identifiers 2

IdentifierTypeStateIssuer
8D6807OtherTXMEDICARE ID - UNSPECIFIED
86509QOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110804000633 TX Part B Supplier - Clinic/Group Practice 5092984237 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

16607 Blanco Rd
Ste 220
San Antonio, TX 78232
Phone (210) 219-4991

16607 Blanco Rd
Ste 12101
San Antonio, TX 78232
Phone (210) 219-4991

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1609168111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10106 LORENE LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD",
            "address_2": "SUITE 12101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321913",
            "telephone_number": "210-219-4991",
            "fax_number": "210-399-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE B GOWEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "GOWEN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "210-219-4991",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "26712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - UNSPECIFIED",
            "identifier": "8D6807",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86509Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.