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MR. DEREK SHEA BOWERS LCSW
NPI 1760833164
Social Worker - Clinical in Johnson City, TN

Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
207 N BOONE ST STE 13, JOHNSON CITY, TN 37604(423) 218-2217(865) 338-5383 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2019, Oct 30, 2019, Nov 15, 2016 and 1 more (4 updates tracked since 2016).

About Mr. Derek Shea Bowers Lcsw NPPES

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

MR. DEREK SHEA BOWERS LCSW (NPI 1760833164) is an individual clinical provider in Johnson City, Tennessee, licensed in Tennessee (7119) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1760833164
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DEREK SHEA BOWERSCredential: LCSW
Location Address207 N BOONE ST STE 13Johnson City, TN 37604-5659
Mailing Address207 N Boone St Ste 13Johnson City, TN 37604-5659 · (865) 338-5384 · Fax (865) 338-5383
Phone(423) 218-2217
Fax(865) 338-5383
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 27, 2016
Last NPPES UpdateFebruary 9, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
✔ NPI 1760833164 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 TN · 7119
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.
207 N BOONE ST STE 13, Johnson City, TN 37604
Open in Google Maps ↗

Other Identifiers 1

MedicaidQ053172TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and more.Insurance ›

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

Mr. Derek Shea Bowers 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.

PECOS PAC ID749604676
PECOS Enrollment IDI20200723003217
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Derek Bowers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Next Step Behavioral Health LLC
100 mi
Mental Health (Including Community Mental Health Center)
9041 EXECUTIVE PARK DR STE 275B
Knoxville, TN 37923
  • Reassigned Medicare billing, Tennessee enrollment
  • 24 clinicians in this Medicare group
NPI 1770089351 (865) 338-5384

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 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SANTANA NIKCOLE ADAMS MA, LPC
Counselor (Professional)
207 N BOONE ST STE 13
JOHNSON CITY, TN 37604
Washington County (423) 328-8260
ROELA REDD
Counselor (Professional)
207 N BOONE ST STE 13
JOHNSON CITY, TN 37604
Washington County (865) 338-5384

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 Derek Bowers's NPI number?

The NPI number for Derek Bowers is 1760833164. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Derek Bowers located?

Derek Bowers practices at 207 N Boone St Ste 13, Johnson City, TN 37604. The listed phone number is (423) 218-2217.

What is Derek Bowers's specialty?

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

Is Derek Bowers enrolled in Medicare?

Yes. Derek Bowers 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 organization bills Medicare for Derek Bowers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Bowers reassigns Medicare benefits to The Next Step Behavioral Health LLC (Knoxville, TN). The 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 Derek Bowers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Bowers accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Derek Bowers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Bowers was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.