Ronda K Bower, LBSW

Individual provider Active NPI Clinical Social Worker · Caro, MI

NPI 1992335517 · NPPES record last updated Jan 23, 2020

Key facts

NPI
1992335517
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6802079071 (MI)
Practice address
1332 Prospect Ave
Caro, MI 48723-9288
Phone
(989) 673-6191
Fax
(989) 672-3170
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6802079071MIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6802079071 MI Yes

Addresses

Primary practice location

1332 Prospect Ave
Caro, MI 48723-9288

Mailing address

323 N State St
Caro, MI 48723-1537
Phone (989) 673-6191

Other providers in Caro, MI

All providers in Caro, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.