Robert Charles Cowan, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105771 Issued in CA

Practice address

907 4TH St
Yreka, CA 96097-3313

Phone

(530) 841-0844

NPI assigned

Nov 15, 2010

Last updated

Dec 1, 2021By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Youth Empowerment Siskiyou

  • Clinical Social Worker
  • Yreka, CA
  • NPI 1225796956
  NPD

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1740581271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1337",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960971337",
            "telephone_number": "530-841-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 4TH ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973313",
            "telephone_number": "530-841-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-15",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "105771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Collins, SCHOOL PSY (WAIVER)
• Paul Jerome Connelly, PT
• Monica Michele Cooley, M.S.
• County of Siskiyou (Siskiyou County Jail)
• County of Siskiyou (County of Siskiyou Behavioral Health)
• Joshua Cox
• Craig W. Calhoun, MD, Prof. Corp.
• Crane Mountain LLC
• Elisabeth Cravens, L.C.S.W.
• Bruce Byron Crawford, MFT

• Clinical Social Worker in Yreka, CA
• Providers in Yreka, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.