NPI 1194540831 · live from the CMS NPI Registry
Tristan Gage Bowen, LGSW
Social Worker, Clinical in Elkview, WV. National Provider Identifier 1194540831, active.
NPI record
| NPI | 1194540831 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 5004 Elk River Rd, Elkview, WV 25701 |
| Practice phone | 304-759-9835 |
| Enumerated | November 18, 2024 |
| Last updated | May 8, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | BP00947009 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.