Active NPI
Jennifer May Bowen, MSW
- Clinical Social Worker
- Rosemead, CA
National Provider Identifier
1649397142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 64004
- Practice address
- 9353 Valley Blvd
Rosemead, CA 91770-1934 - Phone
- (626) 287-2988
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Mental Health Counselor | 101YM0800X | ASW24456 | CA | |
| Clinical Social Worker | 1041C0700X | 64004 | CA | Primary |
Addresses
Primary practice location
9353 Valley Blvd
Rosemead, CA 91770-1934
Mailing address
PO Box 2476
Pasadena, CA 91102-2476
Phone (626) 823-1504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW24456 | CA | MD | Mental Health Counselor |
| 64004 | CA | MD | General Practice Dentistry |
| 64006 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J.Bowen: a Corporation of Licensed Clinical Social Workers | Mental Health | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Darrell Broaddus Psychological Services PC | Past | Accepting new patients |
Interoperability endpoints
- jennifermbowen@tdh.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Glendale, CA
- NPI 1982169926
Mental Health
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
-
- Clinical Psychologist
- Orangevale, CA
- NPI 1215339650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1649397142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2476",
"city": "PASADENA",
"state": "CA",
"postal_code": "911022476",
"telephone_number": "626-823-1504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9353 VALLEY BLVD",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917701934",
"telephone_number": "626-287-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "JENNIFER",
"middle_name": "MAY",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW24456",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "64004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.