Individual provider Active NPI

Timothy Newton Owens, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1083042303
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006757A Issued in IN
Practice address
7830 Johnson Rd
Indianapolis, IN 46250-2075
Phone
(317) 396-0683
Fax
(317) 396-0687
NPI assigned
Oct 23, 2013
Last updated
Dec 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34006757A IN Primary

Addresses

Primary practice location

7830 Johnson Rd
Indianapolis, IN 46250-2075

Mailing address

340 N Dequincy St
Indianapolis, IN 46201-3706
Phone (317) 506-4097

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
34006757AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Viaquest Holdings LTD PastSince Mar 28, 2015 Accepting new patients
Viaquest Community Solutions, LLC PastSince Aug 14, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1083042303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N DEQUINCY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013706",
            "telephone_number": "317-506-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 JOHNSON RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502075",
            "telephone_number": "317-396-0683",
            "fax_number": "317-396-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "TIMOTHY",
        "middle_name": "NEWTON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006757A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.