Jenia Fowler, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4049C Issued in AL

Practice address

425 5TH Ave NW
Attalla, AL 35954-2214

Phone

(256) 492-7800

Fax

(256) 494-5536

NPI assigned

May 28, 2019

Sex

Female

Sole proprietor

No

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 AL

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Etowah Dekalb Cherokee Mental Health Board, IncGroup PAC ID 3678628427, 4 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.

• Etowah Dekalb Cherokee Mental Health Board, Inc

  • Community/Behavioral Health Agency
  • Attalla, AL
  • NPI 1326175795
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1760049530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 5TH AVE NW",
            "city": "ATTALLA",
            "state": "AL",
            "postal_code": "359542214",
            "telephone_number": "256-492-7800",
            "fax_number": "256-494-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 5TH AVE NW",
            "city": "ATTALLA",
            "state": "AL",
            "postal_code": "359542214",
            "telephone_number": "256-492-7800",
            "fax_number": "256-494-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JENIA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4049C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Dumas, MSW
• Mallie Ellison
• Etowah Dekalb Cherokee Mental Health Board, Inc
• Etowah Youth Services Inc.
• Fredric Warren Feist Sr., M.D.
• Fresenius Kidney Care Attalla, LLC
• Gadsden Home Care Services LLC
• Gadsden Weight Control, LLC
• Daniel Carl Geary Jr., C.HT
• General Dentistry and Same Day Denture Clinic,LLC

• Clinical Social Worker in Attalla, AL
• Providers in Attalla, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.