MEDICARE: MR. RICHARD A. ROWE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	09929	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629363445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD A. ROWE LCSW

Provider Business Mailing Address
First Line	:	2035 VISTA AVE
Second Line	:
City	:	SIERRA MADRE
State	:	CA
Zip	:	91024-1553
Country	:	US
Telephone Number	:	626-836-5395
Fax Number	:

Provider Business Practice Location Address
First Line	:	3576 ARLINGTON AVE STE 200
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-3945
Country	:	US
Telephone Number	:	951-836-0419
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2011
Last Update Date	:	07/30/2024

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