Provider Demographics
NPI:1649083270
Name:BOWLER, RUTH SARA (LMSW)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:SARA
Last Name:BOWLER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2602 BRIGADOON RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:MD
Mailing Address - Zip Code:21131-1603
Mailing Address - Country:US
Mailing Address - Phone:443-845-0746
Mailing Address - Fax:
Practice Address - Street 1:4419 FALLS RD STE D
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-1296
Practice Address - Country:US
Practice Address - Phone:443-845-0746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD310521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical