Active NPI
Marah Ann Owecke
- Clinical Social Worker
- Newport, OR
National Provider Identifier
1003487190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- A12535
- Practice address
- 607 SW Hurbert St Ste 102
Newport, OR 97365-4998 - Phone
- (541) 270-4717
- Fax
- (541) 272-5112
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | A12535 | OR | Primary |
Addresses
Primary practice location
607 SW Hurbert St Ste 102
Newport, OR 97365-4998
Mailing address
PO Box 2254
Newport, OR 97365-0166
Phone (541) 270-4717
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cdavis@oceanmistcounseling.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A12535 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Mist Counseling & Wellness | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1003487190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2254",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973650166",
"telephone_number": "541-270-4717",
"fax_number": "541-272-5112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 SW HURBERT ST STE 102",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973654998",
"telephone_number": "541-270-4717",
"fax_number": "541-272-5112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWECKE",
"first_name": "MARAH",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "A12535",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cdavis@oceanmistcounseling.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "607 SW Hurbert St Ste 102",
"city": "Newport",
"state": "OR",
"country_code": "US",
"postal_code": "973654998",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newport, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.