Provider Demographics
NPI:1841454246
Name:BOWERS, LLOYD MARSHALL (LCSW)
Entity type:Individual
Prefix:MR
First Name:LLOYD
Middle Name:MARSHALL
Last Name:BOWERS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 W 58TH ST STE 202
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1822
Mailing Address - Country:US
Mailing Address - Phone:917-952-9383
Mailing Address - Fax:212-464-2612
Practice Address - Street 1:330 W 58TH ST STE 202
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1822
Practice Address - Country:US
Practice Address - Phone:917-952-9383
Practice Address - Fax:212-464-2612
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045164101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health