Kimberlie Ann Bower-Wagner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW991594 Issued in CO

Practice address

1045 Acoma St
Suite 3
Denver, CO 80204-4029

Phone

(303) 370-1399

Fax

(866) 752-0379

NPI assigned

Nov 5, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kim Wagner Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1992959829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6444 E 17TH AVENUE PKWY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201614",
            "telephone_number": "303-370-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ACOMA ST",
            "address_2": "SUITE 3",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044029",
            "telephone_number": "303-370-1399",
            "fax_number": "866-752-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER-WAGNER",
        "first_name": "KIMBERLIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW991594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "WAGNER",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Emma Catherine Bowen, LCSW
• James L. Bowen Jr., M.A.
• Leah Bowen, MD
• Lyndsay Bowen, SLP
• Alethea Maria Bowens
• Kalyn Bower, PHARMD
• Kathryn Bower
• Eugene Wayron Bowers, RN
• Krista W. Bowers, M.D.
• Michael Raymond Bowers, PSY.D.

• Clinical Social Worker in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.