Active NPI
Sherri Owens
- Clinical Social Worker
- Vista, CA
National Provider Identifier
1538784392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 108521
- Practice address
- 536 W Vista Way Unit a
Vista, CA 92083-5704 - Phone
- (760) 758-1650
- NPI assigned
- Jun 8, 2020
- Last updated
- Mar 9, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 108521 | CA | |
| Clinical Social Worker | 1041C0700X | P013102 | NC | |
| Clinical Social Worker | 1041C0700X | 108521 | CA | Primary |
Addresses
Primary practice location
536 W Vista Way Unit a
Vista, CA 92083-5704
Mailing address
536 W Vista Way Unit a
Vista, CA 92083-5704
Other practice location 1
1708 S Mebane St Ste 302
Burlington, NC 27215-6591
Phone (336) 229-4624
Other practice location 2
900 Fulton Ave Ste 205
Sacramento, CA 95825-4517
Phone (916) 484-3570
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 |
|---|---|---|---|
| P013102 | NC | MD | Clinical Social Worker |
| 108521 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1538784392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 W VISTA WAY UNIT A",
"city": "VISTA",
"state": "CA",
"postal_code": "920835704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 W VISTA WAY UNIT A",
"city": "VISTA",
"state": "CA",
"postal_code": "920835704",
"telephone_number": "760-758-1650"
}
],
"practiceLocations": [
{
"address_1": "1708 S Mebane St Ste 302",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "NC",
"postal_code": "272156591",
"country_code": "US",
"telephone_number": "336-229-4624",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Fulton Ave Ste 205",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958254517",
"country_code": "US",
"telephone_number": "916-484-3570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OWENS",
"first_name": "SHERRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-08",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "108521",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P013102",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "108521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.