Provider Demographics
NPI:1477523280
Name:BOWERS, LINDA D (LCSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:D
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 1:7901 4TH ST N
Mailing Address - Street 2:STE. 309
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-4305
Mailing Address - Country:US
Mailing Address - Phone:727-329-6500
Mailing Address - Fax:727-329-6555
Practice Address - Street 1:7901 4TH ST N
Practice Address - Street 2:STE. 309
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-4305
Practice Address - Country:US
Practice Address - Phone:727-329-6500
Practice Address - Fax:727-329-6555
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW21641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ3628Medicare ID - Type Unspecified