Active NPI
Lindsay A Owens, LISW-S, LICDC
- Clinical Social Worker
- Brunswick, OH
National Provider Identifier
1487305371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1901937-SUPV
- Practice address
- 4901 Fallen Leaf TRL
Brunswick, OH 44212-4797 - Phone
- (133) 080-8225
- NPI assigned
- Jan 12, 2022
- 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 | LICDC.161529 | OH | |
| Clinical Social Worker | 1041C0700X | I.1901937-SUPV | OH | Primary |
Addresses
Primary practice location
4901 Fallen Leaf TRL
Brunswick, OH 44212-4797
Mailing address
4901 Fallen Leaf TRL
Brunswick, OH 44212-4797
Phone (133) 080-8225
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 |
|---|---|---|---|
| LICDC.161529 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| I.1901937-SUPV | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1487305371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 FALLEN LEAF TRL",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442124797",
"telephone_number": "133-080-8225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 FALLEN LEAF TRL",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442124797",
"telephone_number": "133-080-8225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "LINDSAY",
"middle_name": "A",
"credential": "LISW-S, LICDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-12",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.161529",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1901937-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.