Active NPI
Kathleen Ryan Owens, LCSW
- Clinical Social Worker
- Midlothian, VA
National Provider Identifier
1376348193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904017499
- Practice address
- 6903 Whistlers Cove Dr
Midlothian, VA 23112-6148 - Phone
- (804) 433-9161
- NPI assigned
- Feb 17, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710103782 | VA | |
| Clinical Social Worker | 1041C0700X | 0904017499 | VA | Primary |
Addresses
Primary practice location
6903 Whistlers Cove Dr
Midlothian, VA 23112-6148
Mailing address
6903 Whistlers Cove Dr
Midlothian, VA 23112-6148
Phone (804) 433-9161
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0710103782 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0904017499 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Candor Therapy Network PLLC | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1376348193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6903 WHISTLERS COVE DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231126148",
"telephone_number": "804-433-9161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6903 WHISTLERS COVE DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231126148",
"telephone_number": "804-433-9161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "KATHLEEN",
"middle_name": "RYAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-17",
"last_updated": "2025-02-17",
"certification_date": "2025-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710103782",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904017499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.