MEDICARE: STEVEN BOWEN LMSW, CSW-I

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	IC-1936	NV

General Provider Information

NPI Number	:	1811498975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN BOWEN LMSW, CSW-I

Provider Business Mailing Address
First Line	:	975 ROBERTA LN STE 104
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89431-6812
Country	:	US
Telephone Number	:	775-525-1616
Fax Number	:

Provider Business Practice Location Address
First Line	:	975 ROBERTA LN STE 104
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89431-6812
Country	:	US
Telephone Number	:	775-525-1616
Fax Number	:

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

Provider Enumeration Date	:	02/23/2018
Last Update Date	:	03/15/2023

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