Individual provider Active NPI

Peter F Fowle, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1780874032
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008736 Issued in NC
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140711002037 NC Practitioner - Clinical Social Worker 4284709148
I20170727002071 IA Practitioner - Clinical Social Worker 4284709148 Reassigns benefits to 2 organizations
I20260212001245 NE Practitioner - Mental Health Counselor 4284709148 Reassigns benefits to 1 organization

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 IowaGroup PAC ID 3678482130, shared by 8 NPIs, 28 clinicians
Midwest Mental Health LLCGroup PAC ID 5991075699, 5 clinicians
Psychiatric Services PCGroup PAC ID 0941113328, 11 clinicians

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

LicenseStateTypeSpecialty
2723NEMDMental Health Counselor
C008736NCMDClinical Social Worker
6693KSMDUrology Physician
3817KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Health Community Memorial Hospital of Missouri Valley Iowa Current Accepting new patients
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa CurrentSince Feb 16, 2025 Accepting new patients
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa CurrentSince Feb 16, 2025 Accepting new patients
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Current Accepting new patients
Psychiatric Services, PC Social Worker CurrentSince Dec 23, 2025 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.

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

Verify at the official NPI Registry.