Malika Bowser, QP,MSW,LCSW-A,LCAS-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P009982 Issued in NC

Practice address

911 Hay St
Fayetteville, NC 28305-5313

Phone

(910) 438-0939

Fax

(910) 438-0942

NPI assigned

Oct 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Outreach, LLCGroup PAC ID 0446449748, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carolina Outreach, LLC

  • Clinical Social Worker
  • Durham, NC
  • NPI 1083723266
  Medicare reassignment Care Compare group NPD
• Epiphany Care

  • Early Intervention Provider Agency
  • Charlotte, NC
  • NPI 1134781958
  Medicare reassignment NPD
• Carolina Outreach, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1508171216

  Clinical

  NPD
• Carolina Outreach, LLC

  • Clinical Social Worker
  • Asheville, NC
  • NPI 1518110139
  NPD

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1710358551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055313",
            "telephone_number": "910-438-0939",
            "fax_number": "910-438-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055313",
            "telephone_number": "910-438-0939",
            "fax_number": "910-438-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWSER",
        "first_name": "MALIKA",
        "credential": "QP,MSW,LCSW-A,LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billie Jo Bowler, LCMHCA
• Robert Bradford Bowles III, MD
• Carlie Robert Bowling, PHARM.D.
• Alex Bowman
• Rachelle Bowman, LAT, ATC
• Kelita Box
• Nycole Boyce
• Chelsea Nicholette Boyd, MSN, CPNP-PC
• Kerri Lynn Boyd Sr., CMSW
• Lavondra Alicia Boyd

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.