Individual provider Active NPI

Theresa Evelyn Bowen-Crawford, LW

  • Clinical Social Worker
  • Tacoma, WA
National Provider Identifier
1710101522
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60163577 Issued in WA
Practice address
608 S G St
Tacoma, WA 98405-4625
Phone
(253) 680-9031
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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 LW60163577 WA Primary

Addresses

Primary practice location

608 S G St
Tacoma, WA 98405-4625

Mailing address

PO Box 7853
Tacoma, WA 98417-0853
Phone (253) 680-9031

Other names 1

  • Ms. Theresa E. Bowen-Crawford Professional 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

State licenses

LicenseStateTypeSpecialty
LW60163577WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Counseling Services CurrentSince Jan 15, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1710101522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7853",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984170853",
            "telephone_number": "253-680-9031",
            "fax_number": "206-302-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S G ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054625",
            "telephone_number": "253-680-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN-CRAWFORD",
        "first_name": "THERESA",
        "middle_name": "EVELYN",
        "name_prefix": "Ms.",
        "credential": "LW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60163577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "BOWEN-CRAWFORD",
            "middle_name": "E.",
            "prefix": "MS.",
            "credential": "LW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.