Provider Demographics
NPI:1487898243
Name:COWSER, FELICIA (LICSW, LCSW-C)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:COWSER
Suffix:
Gender:F
Credentials:LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15602 EVERGLADE LN APT 304
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3245
Mailing Address - Country:US
Mailing Address - Phone:240-464-8805
Mailing Address - Fax:
Practice Address - Street 1:5354 SHERIFF RD
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-1308
Practice Address - Country:US
Practice Address - Phone:301-773-8201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2009-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD073391041C0700X
DCLC3033121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical