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NPI Code Detail

MEDICARE: JENILYN A FOWZER LMSW

MEDICARE:   JENILYN A FOWZER  LMSW
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
1104100000XSocial Worker117156TX

General Provider Information

NPI Number : 1154289775
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENILYN A FOWZER LMSW
Provider Business Mailing Address
First Line : 3800 COUNTY ROAD 444
Second Line :
City : PRINCETON
State : TX
Zip : 75407-4432
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1500 MARINA BAY DR STE E
Second Line :
City : KEMAH
State : TX
Zip : 77565-2263
Country : US
Telephone Number : 903-737-5006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/26/2026

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Directions to “ JENILYN A FOWZER LMSW” Practice Location

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