Provider Demographics
NPI:1861151953
Name:COWLEY, ELIZABETH NICOLE (LCSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:NICOLE
Last Name:COWLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:NICOLE
Other - Last Name:BOGUNOVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW, MSW
Mailing Address - Street 1:2235 WARREN ST
Mailing Address - Street 2:
Mailing Address - City:LAKE STATION
Mailing Address - State:IN
Mailing Address - Zip Code:46405-2532
Mailing Address - Country:US
Mailing Address - Phone:219-743-1539
Mailing Address - Fax:
Practice Address - Street 1:402 WALL ST STE 42
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-2572
Practice Address - Country:US
Practice Address - Phone:219-510-8043
Practice Address - Fax:219-510-8044
Is Sole Proprietor?:No
Enumeration Date:2021-12-15
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34012130A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical