Active NPI
Gabrielle Bowen
- Social Worker
- Grand Rapids, MI
National Provider Identifier
1700654332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1111 40TH St SE
Grand Rapids, MI 49508-6084 - Phone
- (616) 241-6258
- NPI assigned
- Dec 13, 2023
- Last updated
- Dec 13, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
1111 40TH St SE
Grand Rapids, MI 49508-6084
Mailing address
1111 40TH St SE
Grand Rapids, MI 49508-6084
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Community Services | Current | Accepting new patients | |
| Spectrum Community Services | Current | Accepting new patients |
Locations
1111 40th St SE
Wyoming, MI 49508
Phone (616) 516-7131
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Home Health Agency
- Westland, MI
- NPI 1457117962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1700654332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 40TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495086084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 40TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495086084",
"telephone_number": "616-241-6258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "GABRIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-13",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.