Bowers, Derek Shea

Bowers, Derek Shea is an individual health care provider with primary practice located at 207 N Boone St Ste 13 , Johnson City TN 37604-5659. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bowers, Derek Shea can be contacted via phone (423) 218-2217.

Contact Information

Primary practice address
207 N Boone St Ste 13 Johnson City TN 37604-5659
Phone: (423) 218-2217
Fax: (865) 338-5383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7119 Tennessee

Profile Details

NPI number 1760833164
LBN Legal business name Bowers, Derek Shea
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2016
Last updated Feb 9th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760833164 NPPES
Tennessee MEDICAID Q053172

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