| Walter Bowles, | |
|
16250 Ventura Blvd Ste 465, Encino, CA 91436-4620 | |
| (818) 906-0406 | |
| Not Available |
| Full Name | Walter Bowles |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 16250 Ventura Blvd Ste 465, Encino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689249443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 97308 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Bowles, 1265 N Harper Ave Apt 4, West Hollywood, CA 90046-3795 Ph: () - | Walter Bowles, 16250 Ventura Blvd Ste 465, Encino, CA 91436-4620 Ph: (818) 906-0406 |
Ms. Valerie Sadon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16055 Ventura Blvd., Suite 500, Encino, CA 91436 Phone: 310-966-6500 | |
Christa Jinn Cuison, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15720 Ventura Blvd Ste 420, Encino, CA 91436 Phone: 818-927-0478 | |
Mrs. Robyn Sue Sewitz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16055 Ventura Blvd, Ste 403, Encino, CA 91436 Phone: 818-788-1404 Fax: 818-784-8069 | |
Ms. Eva Maria Westholm, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15720 Ventura Blvd Ste 600, Encino, CA 91436 Phone: 818-906-0406 Fax: 818-906-1566 | |
Kelli Brooke Miller, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16542 Ventura Blvd, Suite 320, Encino, CA 91436 Phone: 818-395-5447 | |
Anne Levin Marsh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17337 Ventura Blvd Ste 327, Encino, CA 91316 Phone: 818-521-3614 | |
Victoria Serratos, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15720 Ventura Blvd Ste 420, Encino, CA 91436 Phone: 818-927-0478 Fax: 818-243-5431 |