Individual provider Active NPI

Roni Bowman, LCSW

  • Social Worker
  • Hot Springs, AR
National Provider Identifier
1740672344
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1852-C Issued in AR
Practice address
1249 Lakeside Rd
Hot Springs, AR 71901-7354
Phone
(501) 262-2766
Fax
(501) 262-2544
NPI assigned
Feb 19, 2015
Last updated
Feb 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1852-C AR Primary

Addresses

Primary practice location

1249 Lakeside Rd
Hot Springs, AR 71901-7354

Mailing address

1249 Lakeside Rd
Hot Springs, AR 71901-7354
Phone (501) 262-2766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20250227003872 AR Practitioner - Clinical Social Worker 4183144512

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2578 Broadway
Suite 607
New York, NY 10025-7869

9901 Brodie LN
Ste. 160 1077
Austin, TX 78748-5892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1852-CARMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1740672344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 LAKESIDE RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017354",
            "telephone_number": "501-262-2766",
            "fax_number": "501-262-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 LAKESIDE RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017354",
            "telephone_number": "501-262-2766",
            "fax_number": "501-262-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "RONI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "1852-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.