Provider Demographics
NPI:1669509774
Name:BOWLER, LUZ (LCSW)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:
Last Name:BOWLER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BIRCH GLEN RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01119-2101
Mailing Address - Country:US
Mailing Address - Phone:413-523-2539
Mailing Address - Fax:
Practice Address - Street 1:27 BIRCH GLEN RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01119-2101
Practice Address - Country:US
Practice Address - Phone:413-523-2539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2110051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical