Individual provider Active NPI

Allyson Nicole Owens, LCSW-A

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1497302004
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P013696 Issued in NC
Practice address
615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone
(910) 343-0145
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P013696 NC Primary

Addresses

Primary practice location

615 Shipyard Blvd
Wilmington, NC 28412-6431

Mailing address

615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 343-0145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221020001292 NC Practitioner - Clinical Social Worker 4587030234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1309 Tatum Dr
New Bern, NC 28560-4314
Phone (252) 672-8742

2206 Wrightsville Ave
Suite a
Wilmington, NC 28403-2406
Phone (910) 763-6499

5171 Glenwood Ave
Suite 211
Raleigh, NC 27612-3266
Phone (919) 783-8898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P013696NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Port Health Services CurrentSince Nov 7, 2023 Accepting new patients
Port Health Services Current Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Port Health Services CurrentSince Nov 7, 2023 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Current Accepting new patients

Locations

4300 Sapphire Ct
Ste 110
Greenville, NC 27834
Phone (252) 830-7540

2602 Courtier Dr
Greenville, NC 27834
Phone (252) 355-4725

5171 Glenwood Ave
Ste 211
Raleigh, NC 27612
Phone (919) 210-7661

2206 Wrightsville Ave
Ste A
Wilmington, NC 28403
Phone (910) 251-5326

2206 Wrightsville Ave
#A
Wilmington, NC 28403
Phone (910) 251-5326

Organizations & group practices 6

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": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1497302004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126431",
            "telephone_number": "910-343-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126431",
            "telephone_number": "910-343-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "ALLYSON",
        "middle_name": "NICOLE",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.