Provider Demographics
NPI:1598363467
Name:BOWER, DANIELLE (MSW-PPSC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:BOWER
Suffix:
Gender:F
Credentials:MSW-PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2157 HARTE CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-2727
Mailing Address - Country:US
Mailing Address - Phone:707-688-8876
Mailing Address - Fax:
Practice Address - Street 1:746 GRAND AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-2714
Practice Address - Country:US
Practice Address - Phone:510-273-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool