Active NPI
Melissa Mary Owens, LMSW
- Social Worker
- Coeur D Alene, ID
National Provider Identifier
1386079283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33171
- Practice address
- 1621 N 3Rd St
Suite 1100
Coeur D Alene, ID 83814-3376 - Phone
- (208) 765-4509
- NPI assigned
- Sep 10, 2013
- 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 | 33171 | ID | Primary |
Addresses
Primary practice location
1621 N 3Rd St
Suite 1100
Coeur D Alene, ID 83814-3376
Mailing address
2756 Madeira Loop
Post Falls, ID 83854-6700
Phone (208) 660-5150
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 |
|---|---|---|---|
| 33171 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Beahvioral Healthcare, LLC | 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.
-
- Psychologist
- Coeur D Alene, ID
- NPI 1356673792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1386079283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2756 MADEIRA LOOP",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838546700",
"telephone_number": "208-660-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 N 3RD ST",
"address_2": "SUITE 1100",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838143376",
"telephone_number": "208-765-4509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "MELISSA",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-10",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "33171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.