Healthcare Provider Details

I. General information

NPI: 1629940010
Provider Name (Legal Business Name): AMY SMIALOWICZ FOWLER LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 ASBURY ROAD SUITE 203
CANDLER NC
28715
US

IV. Provider business mailing address

19 ARLINGTON ST STE 1
ASHEVILLE NC
28801-2064
US

V. Phone/Fax

Practice location:
  • Phone: 828-776-4269
  • Fax:
Mailing address:
  • Phone: 828-776-4269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberPO19472
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: