Ethelore Chioma Sow, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73036397 Issued in NY

Practice address

21 Audubon Ave
2ND Floor
New York, NY 10032-4220

Phone

(212) 305-2140

Fax

(212) 305-8210

NPI assigned

Mar 10, 2009

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1679714372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 7TH AVE",
            "address_2": "6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262821",
            "telephone_number": "212-395-2140",
            "fax_number": "212-305-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 AUDUBON AVE",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324220",
            "telephone_number": "212-305-2140",
            "fax_number": "212-305-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOW",
        "first_name": "ETHELORE",
        "middle_name": "CHIOMA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73036397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Danielle Souza, LMSW
• Sovereign Medical Services, PC
• Renee Sovern
• Jonathan E Soverow, MD
• Sovr Distribution Network, LLC
• Sire Sow
• Alexandra Catherine Sowa
• Barbara Sowa, RN
• Sowell Health PC
• Josiah Sowell, MD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.