MEDICARE: JERONIA BOWDEN 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
1	1041C0700X	Clinical Social Worker	CSW008245	GA

General Provider Information

NPI Number	:	1790248771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERONIA BOWDEN LMSW

Provider Business Mailing Address
First Line	:	1257 CELIA WAY
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30032-2402
Country	:	US
Telephone Number	:	404-606-0170
Fax Number	:

Provider Business Practice Location Address
First Line	:	1257 CELIA WAY
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30032-2402
Country	:	US
Telephone Number	:	404-606-0170
Fax Number	:

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

Provider Enumeration Date	:	04/08/2019
Last Update Date	:	02/20/2026

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Directions to “ JERONIA BOWDEN LMSW” Practice Location

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