Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAMWISE WYNNSOME FOWLER MSW, LCSWA
NPI 1700793916
Social Worker - Clinical in Kernersville, NC

Active since August 25, 2026
950 GRAVES ST, KERNERSVILLE, NC 27284(336) 497-5271 Get Directions Write a Review

NPPES record added: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Samwise Wynnsome Fowler Msw, Lcswa NPPES

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

SAMWISE WYNNSOME FOWLER MSW, LCSWA (NPI 1700793916) is an individual clinical provider in Kernersville, North Carolina, licensed in North Carolina (P024279) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1700793916
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSAMWISE WYNNSOME FOWLERCredential: MSW, LCSWA
Location Address950 GRAVES STKernersville, NC 27284-3262
Mailing Address4221 Edith Ln Apt AGreensboro, NC 27409-2898 · (336) 455-3413
Sole ProprietorYes
Enumeration DateAugust 25, 2026
NPPES CertifiedAugust 21, 2026
NPI 1700793916 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 NC · P024279
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.
950 GRAVES ST, Kernersville, NC 27284

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 Samwise Fowler's NPI number?

The NPI number for Samwise Fowler is 1700793916. It was assigned to this individual provider in the NPPES registry on August 25, 2026.

Where is Samwise Fowler located?

Samwise Fowler practices at 950 Graves St, Kernersville, NC 27284. The listed phone number is (336) 497-5271.

What is Samwise Fowler's specialty?

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

When was this NPI record last updated?

The NPPES record for Samwise Fowler was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.