Individual
MR. DEREK SHEA BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
207 N BOONE ST STE 13, JOHNSON CITY, TN 37604-5659
(423) 218-2217
(865) 338-5383
Mailing address
207 N BOONE ST STE 13, JOHNSON CITY, TN 37604-5659
(865) 338-5384
(865) 338-5383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7119
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q053172
—
TN
Enumeration date
06/27/2016
Last updated
02/09/2026
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