Organization Active NPI

Shelley Carmine Bowles, LCSW, PA

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1750839536
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5066 Issued in FL
Legal business name
SHELLEY CARMINE BOWLES, LCSW, PA
Practice address
5728 Major Blvd
#175
Orlando, FL 32819-7961
Phone
(407) 325-5719
NPI assigned
Sep 21, 2016
Last updated
Sep 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Authorized official

Name
Shelley Bowles, LCSWNPI 1013949734
Title
Psychotherapist
Phone
(407) 325-5719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW5066 FL Primary

Addresses

Primary practice location

5728 Major Blvd
#175
Orlando, FL 32819-7961

Mailing address

5728 Major Blvd
#175
Orlando, FL 32819-7961

National Provider Directory

National Provider Directory

Locations

5728 Major Blvd
Ste 175
Orlando, FL 32819
Phone (407) 325-5719

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1750839536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 MAJOR BLVD",
            "address_2": "#175",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 MAJOR BLVD",
            "address_2": "#175",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197961",
            "telephone_number": "407-325-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY CARMINE BOWLES, LCSW, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "407-325-5719",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

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