Provider Demographics
NPI:1689152845
Name:BOWEN, SARAH LYNNE (LISW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNNE
Last Name:BOWEN
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4949 WESTOWN PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:WDM
Mailing Address - State:IA
Mailing Address - Zip Code:50266-6704
Mailing Address - Country:US
Mailing Address - Phone:515-344-2060
Mailing Address - Fax:
Practice Address - Street 1:4949 WESTOWN PKWY STE 100
Practice Address - Street 2:
Practice Address - City:WDM
Practice Address - State:IA
Practice Address - Zip Code:50266-6704
Practice Address - Country:US
Practice Address - Phone:515-344-2060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-31
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA062221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical