Provider Demographics
NPI:1811958143
Name:DOWLER, ITA M (LCSW)
Entity type:Individual
Prefix:MS
First Name:ITA
Middle Name:M
Last Name:DOWLER
Suffix:
Gender:F
Credentials:LCSW
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Mailing Address - Street 1:5900 ARLINGTON AVENUE
Mailing Address - Street 2:3M
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471
Mailing Address - Country:US
Mailing Address - Phone:907-414-4541
Mailing Address - Fax:718-796-1813
Practice Address - Street 1:3600 FIELDSTON 2G
Practice Address - Street 2:2G
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463
Practice Address - Country:US
Practice Address - Phone:907-414-4541
Practice Address - Fax:718-796-1813
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2023-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYR04526311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical