MARIE ANTOINETTE FOWLER LCSW
NPI 1255602470
Social Worker - Clinical in Victorville, CA
About Marie Antoinette Fowler Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIE ANTOINETTE FOWLER LCSW (NPI 1255602470) is an individual clinical provider in Victorville, California, licensed in California (23905) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marie Antoinette Fowler Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Marie Fowler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Apple Valley, CA 92308
- Reassigned Medicare billing, California enrollment
- 1,699 clinicians in this Medicare group
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92395 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VICTORVILLE, CA 92395
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 Marie Fowler's NPI number?
The NPI number for Marie Fowler is 1255602470. It was assigned to this individual provider in the NPPES registry on January 19, 2012.
Where is Marie Fowler located?
Marie Fowler practices at 15000 7th St Suite 103, Victorville, CA 92395. The listed phone number is (760) 490-7974.
What is Marie Fowler's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Marie Fowler enrolled in Medicare?
Yes. Marie Fowler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Marie Fowler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marie Fowler reassigns Medicare benefits to 2 organizations: Providence Medical Foundation (Apple Valley, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marie Fowler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marie Fowler was last updated on January 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Marie Antoinette Fowler, LCSW · NPI 1255602470
Clinical provider in Victorville, California. Individual provider, active in the CMS NPPES registry since January 19, 2012.
## Identity
- **NPI:** 1255602470 (Entity type: Individual)
- **Enumerated:** January 19, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 23905 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15000 7TH ST, SUITE 103, Victorville, CA 92395-3852
- **Phone:** (760) 490-7974
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Providence Medical Foundation (NPI 1053616706, Apple Valley, CA); Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** January 19, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1255602470) · Data from the CMS NPPES public registry.