Active NPI
Peter F Fowle, LCSW
- Clinical Social Worker
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C008736
- Practice address
- 10130 Perimeter Pkwy
Ste 200
Charlotte, NC 28216-2447 - Phone
- (888) 849-7379
- Fax
- (855) 857-7333
- NPI assigned
- Aug 1, 2007
- Last updated
- Feb 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6693 | KS | |
| Clinical Social Worker | 1041C0700X | C008736 | NC | Primary |
Addresses
Primary practice location
10130 Perimeter Pkwy
Ste 200
Charlotte, NC 28216-2447
Mailing address
10130 Perimeter Pkwy
Ste 200
Charlotte, NC 28216-2447
Phone (888) 849-7379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IA, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- University of Toronto, Faculty of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alegent Health Community Memorial Hospital of Missouri Valley Iowa
Practice addresses (Care Compare)
518 Lincoln Way
Woodbine, IA 51579-1238
Phone (712) 647-2566
523 W Sheridan Ave
Shenandoah, IA 51601-1705
Phone (712) 246-0159
809 Elm St
Missouri Valley, IA 51555-1140
Phone (712) 642-2794
9239 W Ctr Rd
Suite 211
Omaha, NE 68124-1900
Phone (402) 399-9305
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2723 | NE | MD | Mental Health Counselor |
| C008736 | NC | MD | Clinical Social Worker |
| 6693 | KS | MD | Urology Physician |
| 3817 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Health Community Memorial Hospital of Missouri Valley Iowa | Current | Accepting new patients | |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa | Current | Accepting new patients | |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa | Current | Accepting new patients | |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa | Current | Accepting new patients | |
| Psychiatric Services, PC | Social Worker | Current | Accepting new patients |
Locations
809 Elm St
Missouri Vly, IA 51555
Phone (712) 642-2794
631 N 8th St
Mo Valley, IA 51555
Phone (712) 642-2784
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
9239 W Center Rd
Ste 211
Omaha, NE 68124
Phone (402) 399-9305
Organizations & group practices 6
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.
-
dba Midwest Mental Health
- Mental Health Counselor
- Shenandoah, IA
- NPI 1144695040
-
dba CHI Health Missouri Valley
- Family Medicine Physician
- Missouri Valley, IA
- NPI 1023154176
-
dba Alegent Health CMH Practitioner Services
- Family Medicine Physician
- Missouri Valley, IA
- NPI 1043356108
-
dba CHI Health Clinic Oakland
- Rural Health Clinic/Center
- Oakland, IA
- NPI 1366063794
-
dba CHI Health Missouri Valley
- Critical Access Hospital
- Missouri Valley, IA
- NPI 1508964123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486684800000",
"number": "1780874032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10130 PERIMETER PKWY",
"address_2": "STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282162447",
"telephone_number": "888-849-7379",
"fax_number": "855-857-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10130 PERIMETER PKWY",
"address_2": "STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282162447",
"telephone_number": "888-849-7379",
"fax_number": "855-857-7333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLE",
"first_name": "PETER",
"middle_name": "F",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-01",
"last_updated": "2017-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "6693",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C008736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.