Jennifer Bowlds, LSW
Individual provider Active NPI Social Worker · Jasper, IN
NPI 1811430010 · NPPES record last updated Nov 21, 2016
Key facts
- NPI
- 1811430010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 99076057A (IN)
- Practice address
- 480 Eversman Dr
Jasper, IN 47546-3548 - Phone
- (812) 482-3020
- Fax
- (812) 482-6409
- NPI assigned
- Nov 21, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99076057A | IN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Hills Counseling Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 99076057A | IN | Yes |
Addresses
Primary practice location
480 Eversman Dr
Jasper, IN 47546-3548
Mailing address
PO Box 769
Jasper, IN 47547-0769
Phone (812) 482-3020
Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.