Individual provider Active NPI

Karen L Peters-Bowden, LICSW

  • Social Worker
  • Cranston, RI
National Provider Identifier
1659317477
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ISW01478 Issued in RI
Practice address
1107 Pontiac Ave
Cranston, RI 02920-7919
Phone
(401) 559-5537
Fax
(401) 615-5172
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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 ISW01478 RI Primary

Addresses

Primary practice location

1107 Pontiac Ave
Cranston, RI 02920-7919

Mailing address

1107 Pontiac Ave
Cranston, RI 02920-7919
Phone (401) 559-5537

Other names 1

  • Mr. Karen L Peters-Bowden Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ISW01478RIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1659317477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207919",
            "telephone_number": "401-559-5537",
            "fax_number": "401-559-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207919",
            "telephone_number": "401-559-5537",
            "fax_number": "401-615-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS-BOWDEN",
        "first_name": "KAREN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "ISW01478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "PETERS-BOWDEN",
            "middle_name": "L",
            "prefix": "MR.",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.