Suzanne Bowman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW00204 Issued in RI

Practice address

18 Imperial PL
Unit 5B
Providence, RI 02903-4641

Phone

(401) 751-6080

Fax

(401) 751-6080

NPI assigned

Apr 9, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1831532993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 IMPERIAL PL UNIT 5B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034643",
            "telephone_number": "401-751-6080",
            "fax_number": "401-751-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 IMPERIAL PL",
            "address_2": "UNIT 5B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034641",
            "telephone_number": "401-751-6080",
            "fax_number": "401-751-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "SUZANNE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00204",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta M Bowen, NNP
• Nancy Bowering, RN
• Matthew Bowers, M.S. CCC-SLP
• Lynn A Bowlby, MD
• Kathleen Bowling, MD
• Jerrold L Boxerman, MD
• Daisy Alexandra Boyd-Berks, LCSW
• Breana Adale Boyd, MD
• Kathleen Even Boyd, MSW
• Kaitlyn Kristina Boyer, PMHNP

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.