Carol L Owen, PH.D., LICSW
Individual provider Active NPI Clinical Social Worker · Huntington, MA
NPI 1114288750 · NPPES record last updated May 30, 2012
Key facts
- NPI
- 1114288750
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1016264 (MA)
- Practice address
- 73 Russell Rd
Huntington, MA 01050-9777 - Phone
- (413) 667-2203
- NPI assigned
- May 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1016264 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1016264 | MA | Yes |
Addresses
Primary practice location
73 Russell Rd
Huntington, MA 01050-9777
Mailing address
43 Maple Ridge Rd
Florence, MA 01062-9748
Phone (413) 667-3009
Other providers in Huntington, MA
- Karen Levine
- Deviprasad M Makonahally
- Kellyann Alexandria McKenzie
- Jessica Marie Millett
- Deanna Nappi
- Courtney Preston
- Angela Mary Pucino
- Michael A Purdy
- Safe at Home
- Charles Michael Simmons
All providers in Huntington, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.