Active NPI
Mary Owen
- Social Worker
- Elgin, IL
National Provider Identifier
1366073835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1140 N McLean Blvd Ste 1
Elgin, IL 60123-1782 - Phone
- (847) 695-3680
- NPI assigned
- Feb 3, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1140 N McLean Blvd Ste 1
Elgin, IL 60123-1782
Mailing address
1219 S 6TH St
St Charles, IL 60174-4032
Phone (630) 777-9127
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mowen@fsaelgin.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1366073835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 S 6TH ST",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601744032",
"telephone_number": "630-777-9127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 N MCLEAN BLVD STE 1",
"city": "ELGIN",
"state": "IL",
"postal_code": "601231782",
"telephone_number": "847-695-3680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-03",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mowen@fsaelgin.org",
"affiliation": "N",
"address_1": "1140 N McLean Blvd Ste 1",
"city": "Elgin",
"state": "IL",
"country_code": "US",
"postal_code": "601231782",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.