Active NPI
Derek Thomas Bowles, LCSW, MSW
- Clinical Social Worker
- Farmington, UT
National Provider Identifier
1689695173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4950278-3501
- Practice address
- 291 S 200 W
Farmington, UT 84025-2419 - Phone
- (801) 451-7799
- Fax
- (801) 451-6331
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4950278-3501 | UT | Primary |
Addresses
Primary practice location
291 S 200 W
Farmington, UT 84025-2419
Mailing address
PO Box 689
Farmington, UT 84025-0689
Phone (801) 451-7799
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 |
|---|---|---|---|
| 4950278-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689695173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 689",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840250689",
"telephone_number": "801-451-7799",
"fax_number": "801-451-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 S 200 W",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840252419",
"telephone_number": "801-451-7799",
"fax_number": "801-451-6331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLES",
"first_name": "DEREK",
"middle_name": "THOMAS",
"credential": "LCSW, MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "4950278-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.