Individual provider Active NPI

Audrey M George-Owens, LMSW

  • Social Worker
  • Saint Albans, NY
National Provider Identifier
1437866597
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
700 Issued in CT
Practice address
18715 Ilion Ave
Saint Albans, NY 11412-1939
Phone
(646) 589-3100
NPI assigned
Oct 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NY
Social Worker 104100000X NJDCATEMP-035233 NJ
Social Worker 104100000X 700 CT Primary

Addresses

Primary practice location

18715 Ilion Ave
Saint Albans, NY 11412-1939

Mailing address

18715 Ilion Ave
Saint Albans, NY 11412-1939
Phone (646) 589-3100

Other practice location 1

463 7th Ave
New York, NY 10018-7448
Phone (646) 589-3100

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Audrey@AfyaWellnessSolutions.org Direct
CONNECT URL Audrey@AfyaWellnessSolutions.org Direct
CONNECT URL audrey@AfyaWellnessSolutions.org Health Information Exchange (HIE)

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
NJDCATEMP-035233NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1437866597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18715 ILION AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121939",
            "telephone_number": "646-589-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18715 ILION AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121939",
            "telephone_number": "646-589-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463 7th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100187448",
            "country_code": "US",
            "telephone_number": "646-589-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE-OWENS",
        "first_name": "AUDREY",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "NJDCATEMP-035233",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Audrey@AfyaWellnessSolutions.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18715 Ilion Ave",
            "city": "Saint Albans",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114121939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Audrey@AfyaWellnessSolutions.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18715 Ilion Ave",
            "city": "Saint Albans",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114121939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "audrey@AfyaWellnessSolutions.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18715 Ilion Ave",
            "city": "Saint Albans",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114121939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.