Provider Demographics
NPI:1164737227
Name:NOWLIN, CARMIN N (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CARMIN
Middle Name:N
Last Name:NOWLIN
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 1:1061 HARMON AVENUE STE 1D03
Mailing Address - Street 2:WINN ARMY COMMUNITY HOSPITAL DBM SOLDIER RESILIENCY CTR
Mailing Address - City:FORT STEWART
Mailing Address - State:GA
Mailing Address - Zip Code:31314
Mailing Address - Country:US
Mailing Address - Phone:912-767-7301
Mailing Address - Fax:
Practice Address - Street 1:1061 HARMON AVENUE STE 1D03
Practice Address - Street 2:WINN ARMY COMMUNITY HOSPTIAL DBM SOLDER RESILIENCY CENT
Practice Address - City:FORT STEWART
Practice Address - State:GA
Practice Address - Zip Code:31314
Practice Address - Country:US
Practice Address - Phone:912-767-7301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-13
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW004853104100000X
WYLCSW-7351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker