William C. Fowle, LMSW
NPI 1154531648ActiveIndividual· Social Worker, Clinical· Traverse City, MI
Social Worker, Clinical (LMSW) with Old Town Psychological Services, practicing in Traverse City, Michigan. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1154531648 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW |
| Sole proprietor | No |
| NPI issued | May 23, 2007 |
| Last updated in NPPES | Jan 5, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6801012831 | MI |
| Marriage & Family Therapist | 106H00000X | 4101005403 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MI) |
|---|
Education and affiliations
| Graduation year | 1976 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Old Town Psychological ServicesTraverse City, MI · 8 clinicians
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