Active NPI
Sheila A Owen, LCSW, LADC
- Clinical Social Worker
- North Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9076
- Practice address
- 16 Broadway
First Floor
North Haven, CT 06473 - Phone
- (203) 494-2824
- Fax
- (203) 230-0559
- NPI assigned
- Dec 8, 2011
- Last updated
- Jan 26, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000705 | CT | |
| Clinical Social Worker | 1041C0700X | 9076 | CT | Primary |
Addresses
Primary practice location
16 Broadway
First Floor
North Haven, CT 06473
Mailing address
16 Broadway
First Floor
North Haven, CT 06473
Phone (203) 494-2824
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008003745 | Medicaid | CT | |
| 004041000 | Medicaid | CT | |
| 008038041 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
16 Broadway
FL 1
North Haven, CT 06473-2301
Phone (203) 494-2824
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000705 | CT | MD | Clinical Psychologist |
| 9076 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Mental Health Specialists Inc | Clinical | Current | Accepting new patients |
| Margaliet Ligtenstein LLC | Clinical | Current | Accepting new patients |
| Tricircle Corporation | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570
1 Evergreen Ave
Hamden, CT 06518
Phone (203) 248-8047
6 Way Rd
Middlefield, CT 06455
Phone (860) 349-7012
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Farmington, CT
- NPI 1053362814
Clinical
-
dba TRICIRCLE Inc.
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Middlefield, CT
- NPI 1700384856
Addiction (Substance Use Disorder)
-
- Clinical Social Worker
- Hamden, CT
- NPI 1285395418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1194093864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 BROADWAY",
"address_2": "FIRST FLOOR",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "06473",
"telephone_number": "203-494-2824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 BROADWAY",
"address_2": "FIRST FLOOR",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "06473",
"telephone_number": "203-494-2824",
"fax_number": "203-230-0559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "SHEILA",
"middle_name": "A",
"credential": "LCSW, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-08",
"last_updated": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "000705",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "9076",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008003745",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004041000",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008038041",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.