Provider Demographics
NPI:1003396375
Name:BOWIE, WILLIAM CONNOR (LCSW)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CONNOR
Last Name:BOWIE
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 1:7701 N LAMAR BLVD STE 314
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-1080
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7701 N LAMAR BLVD STE 314
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1080
Practice Address - Country:US
Practice Address - Phone:703-297-6003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-16
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65248104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX65248OtherTEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL
65248OtherTEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL