Dan Lee Bowman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

# 05245 Issued in MN

Practice address

714 W College St
Duluth, MN 55811-4906

Phone

(218) 724-8815

Fax

(218) 724-0251

NPI assigned

Jun 3, 2010

Last updated

Jun 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1720308562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W COLLEGE ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114906",
            "telephone_number": "218-724-8815",
            "fax_number": "218-724-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W COLLEGE ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114906",
            "telephone_number": "218-724-8815",
            "fax_number": "218-724-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "DAN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "# 05245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "# 05245",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norman J Boucher, MD
• Nicole Bourgoyne, LGSW
• Sara Bovee, PSYD
• Gail E Bowdish, MD
• Christine Elizabeth Kanani Bowerman, PHD, LP
• Daniel Reed Bowman, M.D.
• Mark William Boyce
• Mary J Boylan, MD
• Emily Ann Boyle
• Jennifer Renaud Boyle, MD

• Clinical Social Worker in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.