Individual provider Active NPI

Eamon O Dowling, LCSW

  • Clinical Social Worker
  • Rome, GA
National Provider Identifier
1861003337
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007242 Issued in GA
Practice address
701 Broad St Ste 350
Rome, GA 30161-3092
Phone
(762) 235-3640
Fax
(706) 295-2062
NPI assigned
Aug 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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 CSW007242 GA Primary

Addresses

Primary practice location

701 Broad St Ste 350
Rome, GA 30161-3092

Mailing address

221 Technology Pkwy NW
Rome, GA 30165-1369
Phone (762) 235-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20201112000772 GA Practitioner - Clinical Social Worker 0648680116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbin Clinic LLC 238 clinicians

Practice addresses (Care Compare)

701 Broad St
Suite 350
Rome, GA 30161-3092
Phone (762) 235-3640

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
65.74
Promoting interoperability
100
Improvement activities
40
Cost
78.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW007242GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Rivers CSB CurrentSince Aug 1, 2020 Accepting new patients
Highland Rivers Community Service Board Current Accepting new patients
Harbin Clinic, LLC Current Accepting new patients
Harbin Clinic, LLC CurrentSince Feb 22, 2021 Accepting new patients
Highland Rivers CSB CurrentSince Aug 1, 2020 Accepting new patients
Harbin Clinic, LLC CurrentSince Feb 22, 2021 Accepting new patients

Locations

191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600

1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507

701 Broad St
Rome, GA 30161

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000

6 Mathis Dr NW
Ste B
Rome, GA 30165
Phone (706) 233-9023

701 Broad St
Ste 350
Rome, GA 30161
Phone (706) 295-2028

Interoperability endpoints

  • Direct secure messaging: eamon.dowling.1@1498.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1861003337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TECHNOLOGY PKWY NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651369",
            "telephone_number": "762-235-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BROAD ST STE 350",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613092",
            "telephone_number": "762-235-3640",
            "fax_number": "706-295-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWLING",
        "first_name": "EAMON",
        "middle_name": "O",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.