Provider Demographics
NPI:1972690436
Name:CATHERINE E BOWNE
Entity Type:Organization
Organization Name:CATHERINE E BOWNE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BOWNE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWR
Authorized Official - Phone:315-866-8283
Mailing Address - Street 1:PO BOX 924
Mailing Address - Street 2:
Mailing Address - City:HERKIMER
Mailing Address - State:NY
Mailing Address - Zip Code:13350-0924
Mailing Address - Country:US
Mailing Address - Phone:315-866-8283
Mailing Address - Fax:315-866-7488
Practice Address - Street 1:426 NORTH MAIN ST
Practice Address - Street 2:
Practice Address - City:HERKIMER
Practice Address - State:NY
Practice Address - Zip Code:13350-0924
Practice Address - Country:US
Practice Address - Phone:315-866-8283
Practice Address - Fax:315-866-7488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AA1400Medicare ID - Type Unspecified