Individual provider Active NPI

William Dee Fowler, LCSW

  • Social Worker
  • Fort Collins, CO
National Provider Identifier
1821748724
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CSW.09925375 Issued in CO
Practice address
19 Old Town SQ Ste 238
Fort Collins, CO 80524-2471
Phone
(720) 575-2953
NPI assigned
Mar 24, 2022
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CSW.09925375 CO Primary

Addresses

Primary practice location

19 Old Town SQ Ste 238
Fort Collins, CO 80524-2471

Mailing address

1301 Silk Oak Dr
Fort Collins, CO 80525-5597
Phone (334) 750-5902

Other practice location 1

1301 Silk Oak Dr
Fort Collins, CO 80525-5597
Phone (334) 750-5902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09925375COMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1821748724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SILK OAK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255597",
            "telephone_number": "334-750-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 OLD TOWN SQ STE 238",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242471",
            "telephone_number": "720-575-2953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Silk Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805255597",
            "country_code": "US",
            "telephone_number": "334-750-5902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "WILLIAM",
        "middle_name": "DEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "CSW.09925375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.