NPIMap

Individual provider Active NPI

Angie Galler Bowen, LCSW,CCBT,CRH

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1689698532
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3922 Issued in TN
Practice address
244 N Peters Rd
Suite 221
Knoxville, TN 37923-4933
Phone
(865) 679-6379
Fax
(865) 694-6138
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3922 TN Primary

Addresses

Primary practice location

244 N Peters Rd
Suite 221
Knoxville, TN 37923-4933

Mailing address

448 N Cedar Bluff Rd # 214
Knoxville, TN 37923-3612
Phone (865) 679-6379

Other identifiers 1

IdentifierTypeStateIssuer
3922860MedicaidTN

Other names 1

  • Mrs. Angie Galler Vaughan Former 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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwest Medical Center Past Accepting new patients
Parkwest Medical Center Past Accepting new patients
Ebenezer Counseling Services Clinical Past Accepting new patients
Ebenezer Counseling Services Past Accepting new patients
Parkwest Medical Center Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689698532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 N CEDAR BLUFF RD # 214",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233612",
            "telephone_number": "865-679-6379",
            "fax_number": "865-694-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 N PETERS RD",
            "address_2": "SUITE 221",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234933",
            "telephone_number": "865-679-6379",
            "fax_number": "865-694-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "ANGIE",
        "middle_name": "GALLER",
        "name_prefix": "Mrs.",
        "credential": "LCSW,CCBT,CRH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "3922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3922860",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "VAUGHAN",
            "middle_name": "GALLER",
            "prefix": "MRS.",
            "credential": "LCSW,CCBT,CRH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

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.

Verify at the official NPI Registry.