Angie D Bowers

Individual provider Active NPI Social Worker · Bloomfield, NM

NPI 1689352601 · NPPES record last updated Jul 10, 2023

Key facts

NPI
1689352601
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
SWB-2023-0284 (NM)
Practice address
325 N Bergin LN
Bloomfield, NM 87413-6729
Phone
(505) 632-4300
Fax
(505) 634-3950
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SWB-2023-0284NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomfield Municipal Schools Social Worker Current Accepting new patients

Locations

325 N Bergin Ln
Bloomfield, NM 87413
Phone (505) 632-4300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SWB-2023-0284 NM Yes

Addresses

Primary practice location

325 N Bergin LN
Bloomfield, NM 87413-6729

Mailing address

325 N Bergin LN
Bloomfield, NM 87413-6729
Phone (505) 632-4300

Other providers in Bloomfield, NM

All providers in Bloomfield, NM · Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.