Provider Demographics
NPI:1215639232
Name:BOWERS, ALLISON PAIGE (LCSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:PAIGE
Last Name:BOWERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1907 MAGDALENA CIR APT 44
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-2556
Mailing Address - Country:US
Mailing Address - Phone:989-590-2272
Mailing Address - Fax:
Practice Address - Street 1:3840 HOMESTEAD RD
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-4542
Practice Address - Country:US
Practice Address - Phone:989-590-2272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD264331041C0700X
CA1112611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical