Provider Demographics
NPI:1891283172
Name:BOWLING, THANDIWE (LCSW-A)
Entity Type:Individual
Prefix:MRS
First Name:THANDIWE
Middle Name:
Last Name:BOWLING
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 SNIPE CT
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-6002
Mailing Address - Country:US
Mailing Address - Phone:910-515-5892
Mailing Address - Fax:
Practice Address - Street 1:1210 SNIPE CT
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-6002
Practice Address - Country:US
Practice Address - Phone:910-515-5892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-23
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPO157741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty