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DORA GLENN BOWMAN LCSW
NPI 1245998905
Social Worker - Clinical in Sunnyside, NY

Active since November 30, 2021Opted out of Medicare · through Aug 1, 2028
3945 49TH ST, SUNNYSIDE, NY 11104(646) 286-5835 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dora Glenn Bowman Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DORA GLENN BOWMAN LCSW (NPI 1245998905) is an individual clinical provider in Sunnyside, New York, licensed in New York (091825) and active in the NPI registry since November 2021. She has opted out of Medicare through August 1, 2028.

NPPES Registry Identity

NPI1245998905
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDORA GLENN BOWMANCredential: LCSW
Location Address3945 49TH STSunnyside, NY 11104-1023
Mailing Address2855 Telegraph Ave Ste 515Berkeley, CA 94705-1151
Phone(646) 286-5835
Sole ProprietorYes
Enumeration DateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
✔ NPI 1245998905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 091825
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3945 49TH ST, Sunnyside, NY 11104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dora Glenn Bowman Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 1, 2022 through August 1, 2028.

Opt-Out Effective DateAugust 1, 2022
Opt-Out In Effect ThroughAugust 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dora Bowman's NPI number?

The NPI number for Dora Bowman is 1245998905. It was assigned to this individual provider in the NPPES registry on November 30, 2021.

Where is Dora Bowman located?

Dora Bowman practices at 3945 49th St, Sunnyside, NY 11104. The listed phone number is (646) 286-5835.

What is Dora Bowman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Dora Bowman enrolled in Medicare?

No. Dora Bowman has opted out of Medicare through August 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Dora Bowman was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.