Active NPI
Suzanne M. Owens, LICSW
- Clinical Social Worker
- Quincy, MA
National Provider Identifier
1336212307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1032794
- Practice address
- 460 Quincy Ave
Quincy, MA 02169-8130 - Phone
- (617) 847-1950
- Fax
- (617) 774-1490
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1032794 | MA | Primary |
Addresses
Primary practice location
460 Quincy Ave
Quincy, MA 02169-8130
Mailing address
19 Crown St
Milton, MA 02186-1419
Phone (617) 698-8871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050917000027 | MA | Practitioner - Clinical Social Worker | 1052344215 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1032794 | MA | MD | Clinical Social Worker |
Interoperability endpoints
- suzanneowens@ssmh.netsmartdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336212307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 CROWN ST",
"city": "MILTON",
"state": "MA",
"postal_code": "021861419",
"telephone_number": "617-698-8871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 QUINCY AVE",
"city": "QUINCY",
"state": "MA",
"postal_code": "021698130",
"telephone_number": "617-847-1950",
"fax_number": "617-774-1490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "SUZANNE",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1032794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
- Lhassane Oumalek, PMHNP-BC
- Heather T Outlaw
- Outreach Behavioral Health and Wellness Center Inc.
- Outreach Behavioral Health and Wellness Center LLC
- Danielle Louise Owen, LCSW, LADCI
- Shola Oyedele Oyewole
- Yuly Ozuna-Vargas
- Edward Pacheco III, PSY.D.
- Patricia C. Packard, PH.D.
- Madhavi Padukkavidana, M.A., M.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.