KELLY JO BOWLES PLLC (NPI# 1710453998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710453998 |
| Entity Type | Organization |
| Organization Name | KELLY JO BOWLES PLLC |
| Practice Address |
205 N Industrial Dr Ste 1 Orange City FL 32763-7438 |
| Mailing Address |
2290 S Volusia Ave Ste F2 Orange City FL 32763-7600 |
| Practice Telephone | 3863854748 |
| Mailing Telephone | 4073246242 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | KELLY BOWLES (OWNER/LCSW) |
| Authorized Official Telephone | 4073246242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
205 N INDUSTRIAL DR STE 1 |
| City | ORANGE CITY |
| State | FL |
| Zip Code | 32763-7438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093259194 | Kelly Jo Bowles | Social Worker | 205 N Industrial Dr Ste 1, Orange City, FL 32763-7438 | 2016-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852783 | Khushboo Patel | Nurse Practitioner | 915 Harley Strickland Blvd, Orange City, FL 32763 | 2019-10-15 |
| 1598325466 | Steves Hearingllc | Hearing Aid Equipment | 742 N Volucia Ave., Orange City, FL 32763 | 2019-06-13 |
| 1740762194 | Jamie Elizabeth Price | Speech-Language Pathologist | 2705 Rebecca Lane Suite B, Orange City, FL 32763 | 2018-09-02 |
| 1841771821 | Ashley Katherine Taylor | Early Intervention Provider Agency | 358 W Wisconsin Ave, Orange City, FL 32763 | 2018-08-27 |
| 1033636048 | Kimberly Michelle Belk | Social Worker | 300 Treemonte Dr, Orange City, FL 32763 | 2017-08-30 |
| 1588198733 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1320 Saxon Blvd, Orange City, FL 32763 | 2017-04-14 |
| 1629515333 | Anewerface, Inc | Clinic/Center | Address: 123 N Industrial Dr Ste C, Orange City, FL 32763 | 2017-01-20 |
| 1184073322 | Carolyn Ann Damato | Specialist/Technologist, Other | 1350 13th Street, Orange City, FL 32763 | 2016-06-08 |
| 1225451784 | Shamika Spencer | Nurse Practitioner | 932 Saxon Blvd Ste A, Orange City, FL 32763 | 2014-02-03 |
| 1972882314 | Orange City Anesthesia Services LLC | Anesthesiology | 975 Town Center Dr Ste 100, Orange City, FL 32763 | 2011-08-16 |
| Find all providers in zip 32763 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033636048 | Kimberly Michelle Belk | Social Worker | 300 Treemonte Dr, Orange City, FL 32763 | 2017-08-30 |
| 1093259194 | Kelly Jo Bowles | Social Worker | 205 N Industrial Dr Ste 1, Orange City, FL 32763-7438 | 2016-12-07 |
| 1215286448 | Briana Elise Van Der Zwaag | Social Worker | 1217 Highway 10 W, Orange City, IA 51041-1500 | 2012-09-04 |
| 1538495007 | Melissa A Ohden | Social Worker | 209 1st St Ne Ste 103, Orange City, IA 51041-1456 | 2009-10-19 |
| 1265669493 | Loren Howard Fish II | Social Worker | 1642 N Volusia Ave, Suite 203, Orange City, FL 32763-3842 | 2009-06-15 |
| 1083878995 | Elisa Diane Barnett | Social Worker | 300 Treemont Dr, Orange City, FL 32763-7977 | 2008-07-10 |
| 1043307036 | George Edward Williams | Social Worker | 231 E Fern Dr, Orange City, FL 32763-7503 | 2006-10-09 |
| 1336116599 | Martha F Hibma | Social Worker | 123 Albany Ave Se, Orange City, IA 51041-1715 | 2006-03-07 |
| 1588208565 | Lisa J. Smith | Social Worker | 1217 Highway 10 W, Orange City, IA 51041-1500 | 2019-11-01 |
| 1053831586 | Mandi Dolieslager | Social Worker | 400 Central Ave Nw Ste 300, Orange City, IA 51041-1332 | 2017-06-26 |
| Find all providers in ORANGE CITY | ||||
| City | ORANGE CITY |
| Zip Code | 32763 |
Please comment or provide details below to improve the information on KELLY JO BOWLES PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.