Individual
ROBERT T BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00938589
WV
1041C0700X
Clinical Social Worker
I0008930
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217379
ANTHEM BCBS
KY
01
—
000701395
MOUNTAIN STATE BCBS
WV
01
—
275588000
MAGELLAN BEHAVIORAL HEALT
OH
01
—
357056
VALUE OPTIONS
NY
Enumeration date
02/07/2007
Last updated
04/06/2022
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