MEDICARE: MS. CHERYL BOWLES 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	101YM0800X	Mental Health Counselor	5117-N	NV
2	1041C0700X	Clinical Social Worker	C5478	MS

General Provider Information

NPI Number	:	1083647150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHERYL BOWLES LCSW

Provider Business Mailing Address
First Line	:	3095 SNOWBERRY ST.
Second Line	:
City	:	SILVER SPRINGS
State	:	NV
Zip	:	89429
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3595 HWY. 50 WEST
Second Line	:
City	:	SILVER SPRINGS
State	:	NV
Zip	:	89429-1136
Country	:	US
Telephone Number	:	775-577-0319
Fax Number	:	775-577-9571

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

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	09/11/2025

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