Individual provider Active NPI

Marah Ann Owecke

  • Clinical Social Worker
  • Newport, OR
National Provider Identifier
1003487190
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
A12535 Issued in OR
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

Updated by the provider on Jul 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
A12535ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Mist Counseling & Wellness Multi-Specialty PastSince Jul 17, 2021 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.

Verify at the official NPI Registry.