Amanda Whitney Bowman, LMSW
Individual provider Active NPI Clinical Social Worker · Middleville, MI
NPI 1790202307 · NPPES record last updated Nov 15, 2022
Key facts
- NPI
- 1790202307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801114989 (MI)
- Practice address
- 3885 Bender Rd
Middleville, MI 49333-9273 - Phone
- (616) 267-0785
- NPI assigned
- Aug 24, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221208001031 | MI | Practitioner - Clinical Social Worker | 9931578234 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801114989 | MI | Yes |
Addresses
Primary practice location
3885 Bender Rd
Middleville, MI 49333-9273
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Other names
- Amanda Whitney Lloyd
Other providers in Middleville, MI
- Marian Anderson
- Antoinette Annan Delcotto
- Ashley Aspinall
- Gina Marie Biersack
- Tracy M Blakeman
- Melinda Kay Bruxvoort
- Taylor Carter
- Kellie Marie Clark
- Angela Marie Compton
- Contemporarycare at Home, LLC
All providers in Middleville, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.