Individual provider Active NPI

Melissa D Bowser

  • Clinical Social Worker
  • Indiana, PA
National Provider Identifier
1861088825
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023443 Issued in PA
Practice address
1163 Water St Ste 5
Indiana, PA 15701-1648
Phone
(814) 618-6353
NPI assigned
Dec 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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 CW023443 PA Primary

Addresses

Primary practice location

1163 Water St Ste 5
Indiana, PA 15701-1648

Mailing address

12335 Route 210 Hwy
Home, PA 15747-6705
Phone (724) 954-4539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230516000084 PA Practitioner - Clinical Social Worker 0446665780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Menta Psychological, LLC CurrentSince Dec 1, 2020 Accepting new patients
Revival Therapy LLC CurrentSince Sep 13, 2024 Accepting new patients
Bowser Counseling and Wellness LLC CurrentSince Sep 13, 2024 Accepting new patients

Locations

1163 Water St
Ste 5
Indiana, PA 15701
Phone (724) 427-5612

520 Philadelphia St
#10
Indiana, PA 15701
Phone (724) 422-0593

Organizations & group practices 3

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1861088825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12335 ROUTE 210 HWY",
            "city": "HOME",
            "state": "PA",
            "postal_code": "157476705",
            "telephone_number": "724-954-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 WATER ST STE 5",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011648",
            "telephone_number": "814-618-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWSER",
        "first_name": "MELISSA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.