Individual provider Active NPI

Niesha Gowens, LCSW, LISW-CP

  • Clinical Social Worker
  • Rock Hill, SC
National Provider Identifier
1972172682
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016441 Issued in NC
Practice address
241 Blanche Cir
Rock Hill, SC 29730-4905
Phone
(252) 373-6280
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16465 SC
Clinical Social Worker 1041C0700X C016441 NC Primary

Addresses

Primary practice location

241 Blanche Cir
Rock Hill, SC 29730-4905

Mailing address

241 Blanche Cir
Rock Hill, SC 29730-4905
Phone (252) 373-6280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20241218003330 SC Practitioner - Clinical Social Worker 5294262051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C016441NCMDClinical Social Worker
16465SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Moving Mindful Therapy LLC Clinical CurrentSince Oct 1, 2024 Accepting new patients
B'S Effort Changing Counseling Clinical PastSince Jun 1, 2021 Accepting new patients

Locations

1565 Ebenezer Rd
Ste 151
Rock Hill, SC 29732
Phone (803) 280-0978

Organizations & group practices 2

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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1972172682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 BLANCHE CIR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304905",
            "telephone_number": "252-373-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 BLANCHE CIR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304905",
            "telephone_number": "252-373-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWENS",
        "first_name": "NIESHA",
        "credential": "LCSW, LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "16465",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.