MEDICARE: HANNAH BOWEN

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	1121539	MA

General Provider Information

NPI Number	:	1801563960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH BOWEN

Provider Business Mailing Address
First Line	:	1695 MAIN ST FL 400
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01103-1063
Country	:	US
Telephone Number	:	413-739-5572
Fax Number	:

Provider Business Practice Location Address
First Line	:	2377 BOSTON RD STE 8
Second Line	:
City	:	WILBRAHAM
State	:	MA
Zip	:	01095-1254
Country	:	US
Telephone Number	:	413-722-5573
Fax Number	:

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

Provider Enumeration Date	:	08/26/2021
Last Update Date	:	05/30/2025

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Directions to “ HANNAH BOWEN ” Practice Location

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