Provider Demographics
NPI:1053845941
Name:BOWEN, ADRIANNE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:ADRIANNE
Middle Name:
Last Name:BOWEN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7854 MATTIE MCCOY LN
Mailing Address - Street 2:
Mailing Address - City:WINSTON
Mailing Address - State:GA
Mailing Address - Zip Code:30187-2127
Mailing Address - Country:US
Mailing Address - Phone:770-899-3992
Mailing Address - Fax:
Practice Address - Street 1:250 GEORGIA AVE SE STE 213
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-3000
Practice Address - Country:US
Practice Address - Phone:404-653-0374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-18
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker