Individual provider Active NPI

Ita M. Dowler, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1811958143
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0452631 Issued in NY
Practice address
3600 Fieldston 2G
2G
Bronx, NY 10463
Phone
(907) 414-4541
Fax
(718) 796-1813
NPI assigned
Mar 28, 2006
Last updated
May 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R0452631 NY Primary

Addresses

Primary practice location

3600 Fieldston 2G
2G
Bronx, NY 10463

Mailing address

5900 Arlington Avenue
3M
Bronx, NY 10471
Phone (907) 414-4541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20101109000002 NY Practitioner - Clinical Social Worker 9335334085 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3600 Fieldston Rd
Apt 2G
Bronx, NY 10463-2007
Phone (917) 414-4541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0452631NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1811958143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 ARLINGTON AVENUE",
            "address_2": "3M",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10471",
            "telephone_number": "907-414-4541",
            "fax_number": "718-796-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FIELDSTON 2G",
            "address_2": "2G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "907-414-4541",
            "fax_number": "718-796-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWLER",
        "first_name": "ITA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0452631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.