MEDICARE: ERICA BOWMAN LSW

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	162455	OH
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	162146	OH
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	166126
4	101YM0800X	Mental Health Counselor	QMHS	OH
5	104100000X	Social Worker	2105863	OH

General Provider Information

NPI Number	:	1245743137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA BOWMAN LSW

Provider Business Mailing Address
First Line	:	1856 CEDAR HILL RD
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-4178
Country	:	US
Telephone Number	:	740-796-8835
Fax Number	:

Provider Business Practice Location Address
First Line	:	1856 CEDAR HILL RD
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-4178
Country	:	US
Telephone Number	:	740-796-8835
Fax Number	:

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

Provider Enumeration Date	:	11/14/2017
Last Update Date	:	01/08/2025

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