Individual provider Active NPI

Brenda Janice Owens-Wilmoth, LMSW ICAADC DOT SAP

  • Addiction (Substance Use Disorder) Counselor
  • Wilmington, DE
National Provider Identifier
1336686344
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1665 Issued in DE
Practice address
3640 Concord Pike Ste 1073
Wilmington, DE 19803-5022
Phone
(302) 438-2581
NPI assigned
Jan 27, 2017
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 806054 DE
Addiction (Substance Use Disorder) Counselor 101YA0400X 1665 DE Primary
Social Worker 104100000X Q3-0000097 DE

Addresses

Primary practice location

3640 Concord Pike Ste 1073
Wilmington, DE 19803-5022

Mailing address

3640 Concord Pike Ste 1073
Wilmington, DE 19803-5022
Phone (302) 438-2581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1665DEMDAddiction (Substance Use Disorder) Counselor
806054DEMDAddiction (Substance Use Disorder) Counselor
Q3-0000097DEMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1336686344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 CONCORD PIKE STE 1073",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198035022",
            "telephone_number": "302-438-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 CONCORD PIKE STE 1073",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198035022",
            "telephone_number": "302-438-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS-WILMOTH",
        "first_name": "BRENDA",
        "middle_name": "JANICE",
        "credential": "LMSW ICAADC DOT SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "806054",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "1665",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DE",
            "license": "Q3-0000097",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.