Individual provider Active NPI

Linda Gayle Owen, MSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1336390780
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007746A Issued in IN
Practice address
819 W Franklin St
Evansville, IN 47710-1137
Phone
(812) 491-1805
Fax
(812) 491-1929
NPI assigned
Oct 3, 2008
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 34007746A IN Primary

Addresses

Primary practice location

819 W Franklin St
Evansville, IN 47710-1137

Mailing address

5005 Norbourne Way
Evansville, IN 47710-3843
Phone (812) 423-3601

Other identifiers 2

IdentifierTypeStateIssuer
1134206535OtherINGROUP NPI
200529310AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20170406001900 IN Practitioner - Clinical Social Worker 3375829344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deer Oaks Illinois LLCGroup PAC ID 8628375730, 16 clinicians

Practice addresses (Care Compare)

1325 N Rockport Rd
Boonville, IN 47601-2346
Phone (210) 615-3460

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
77.43
Improvement activities
40
Cost
70.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks West LLC CurrentSince Apr 5, 2017 Accepting new patients

Locations

1325 N Rockport Rd
Boonville, IN 47601
Phone (317) 852-8585

1900 College Ave
Vincennes, IN 47591
Phone (812) 886-9308

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Organizations & group practices 1

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": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1336390780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 NORBOURNE WAY",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103843",
            "telephone_number": "812-423-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W FRANKLIN ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101137",
            "telephone_number": "812-491-1805",
            "fax_number": "812-491-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "LINDA",
        "middle_name": "GAYLE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007746A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1134206535",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200529310A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.