Provider Demographics
NPI:1255477998
Name:JOWERS, CATHIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHIE
Middle Name:
Last Name:JOWERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:M
Other - Last Name:JOWERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:41870 KALMIA ST STE 155
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-8850
Mailing Address - Country:US
Mailing Address - Phone:626-482-6006
Mailing Address - Fax:
Practice Address - Street 1:4405 W RIVERSIDE DR STE 208
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4050
Practice Address - Country:US
Practice Address - Phone:818-848-8834
Practice Address - Fax:818-848-1380
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW152161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA492295OtherVALUE OPTIONS
CA54-2111203OtherTAX ID OR EIN
CASW15216Medicare ID - Type UnspecifiedMEDICARE ID