Owen Lee Clutterbuck, ED.D., MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-00000-131-OH Issued in OH

Practice address

8595 Beechmont Ave
Suite 303
Cincinnati, OH 45255-4740

Phone

(513) 474-9000

Fax

(859) 635-2873

NPI assigned

Nov 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Owen Lee Clutterbuck Professional name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Cincinnati College of Medicine, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Lifeway Counseling Centers IncGroup PAC ID 8729036033, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lifeway Counseling Centers, Inc.

  • Counseling Psychologist
  • Cincinnati, OH
  • NPI 1902837636
  Medicare reassignment Care Compare group
• Premier Counseling and Coaching Services, LLC

  • Mental Health Counselor
  • Cincinnati, OH
  • NPI 1679934095
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454803200000",
    "number": "1255313177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8595 BEECHMONT AVE",
            "address_2": "SUITE 303",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554740",
            "telephone_number": "513-474-9000",
            "fax_number": "859-635-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 BEECHMONT AVE",
            "address_2": "SUITE 303",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554740",
            "telephone_number": "513-474-9000",
            "fax_number": "859-635-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUTTERBUCK",
        "first_name": "OWEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "ED.D., MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2016-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I-00000131-OH",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-00000-131-OH",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "I-00000131-OH",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OWEN",
            "last_name": "CLUTTERBUCK",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "ED.D., MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Madeline Rae Clouse, LSW
• Imogen Clover-Brown, MD
• Clovernook Healthcare LLC
• Emma K Clower
• Audrianna Star Clupper
• Anna Cluxton
• Cly Psychotherapy LLC
• Brian P Clymer, DO
• CM Onthe Spot Medical Transportation
• Cma Counseling, LLC (Christina Mayhaus and Associates Counseling)

• Clinical Social Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2016; 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.

Verify at the official NPI Registry.