MEDICARE: MS. CATHIE JOWERS 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	1041C0700X	Clinical Social Worker	LCSW15216	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	492295	OTHER	CA	VALUE OPTIONS

General Provider Information

NPI Number	:	1255477998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CATHIE JOWERS LCSW

Provider Business Mailing Address
First Line	:	41870 KALMIA ST STE 155
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92562-8850
Country	:	US
Telephone Number	:	626-482-6006
Fax Number	:

Provider Business Practice Location Address
First Line	:	4405 W RIVERSIDE DR STE 208
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-4050
Country	:	US
Telephone Number	:	818-848-8834
Fax Number	:	818-848-1380

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

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	07/15/2019

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