Individual provider Active NPI

Owen Faye Wardrop

  • Social Worker
  • Portland, OR
National Provider Identifier
1033720511
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
529 SE Division St
Ste 520
Portland, OR 97214-9721
Phone
(503) 506-0441
NPI assigned
Aug 10, 2020
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X L16261 OR
Social Worker 104100000X OR Primary

Addresses

Primary practice location

529 SE Division St
Ste 520
Portland, OR 97214-9721

Mailing address

1327 SE Tacoma St Ste 307
Portland, OR 97202-6639
Phone (504) 545-8465

Other practice location 1

1327 SE Tacoma St Ste 307
Portland, OR 97202-6639
Phone (503) 208-6902

Other names 1

  • Elizabeth Mary Owen Former name

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
L16261ORMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1033720511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 SE TACOMA ST STE 307",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026639",
            "telephone_number": "504-545-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 SE DIVISION ST",
            "address_2": "STE 520",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972149721",
            "telephone_number": "503-506-0441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1327 SE Tacoma St Ste 307",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972026639",
            "country_code": "US",
            "telephone_number": "503-208-6902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDROP",
        "first_name": "OWEN",
        "middle_name": "FAYE",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2020-08-10",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "OR",
            "license": "L16261",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "OWEN",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.