Active NPI
Sandra J Owens, LCSW,PIP
- Clinical Social Worker
- Anniston, AL
National Provider Identifier
1457426264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1440C
- Practice address
- 18 W 11TH St
Anniston, AL 36201-4585 - Phone
- (256) 312-5443
- Fax
- (256) 835-7927
- NPI assigned
- Nov 21, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1440C | AL | Primary |
Addresses
Primary practice location
18 W 11TH St
Anniston, AL 36201-4585
Mailing address
PO Box 1207
Jacksonville, AL 36265-5207
Phone (256) 312-5443
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09908 | Other | AL | BCBS PROVIDER NUMBER |
| 11129 | Other | AL | BC FEDERAL PROVIDER NUM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1440C | AL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1457426264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1207",
"city": "JACKSONVILLE",
"state": "AL",
"postal_code": "362655207",
"telephone_number": "256-312-5443",
"fax_number": "256-835-7927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 W 11TH ST",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362014585",
"telephone_number": "256-312-5443",
"fax_number": "256-835-7927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "SANDRA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LCSW,PIP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "1440C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "09908",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC FEDERAL PROVIDER NUM",
"identifier": "11129",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.