Jeffrey Bowersox, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.1600604 Issued in OH

Practice address

22540 Lorain Rd
Fairview Park, OH 44126-2212

Phone

(440) 734-4037

NPI assigned

Mar 6, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Allied Behavioral Health Services, Incorporated

  • Psychologist
  • Fairview Park, OH
  • NPI 1902984248

  Clinical

  Medicare reassignment NPD
• Allied Behavioral Health Services, Incorporated

  • Community/Behavioral Health Agency
  • Fairview Park, OH
  • NPI 1942637491
  NPD (past)

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1942895487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 VISTA CIR",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705728",
            "telephone_number": "440-225-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22540 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262212",
            "telephone_number": "440-734-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERSOX",
        "first_name": "JEFFREY",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-06",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1600604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myron A Bodman, DPM
• Jennifer M Bolander
• Ravisankar R Bolla, MD
• David Gillard Bostwick Sr., LISW, LCDCIII, SAP
• Siobhan Bowden
• Mark C Boyle, OTR/L
• Bradley Warren Hylan DMD Fairview LLC
• Kathleen B Bremer, MS, PCC-S
• David Brockett, LPC
• Laura Kathleen Broughton, MS, CCC-SLP

• Clinical Social Worker in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.