Individual provider Active NPI

Myah Owens, LCSWA

  • Clinical Social Worker
  • Knightdale, NC
National Provider Identifier
1548005952
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P020731 Issued in NC
Practice address
105 Mingocrest Dr
Knightdale, NC 27545-7675
Phone
(919) 440-0537
NPI assigned
Jun 27, 2024
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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 P020731 NC Primary

Addresses

Primary practice location

105 Mingocrest Dr
Knightdale, NC 27545-7675

Mailing address

105 Mingocrest Dr
Knightdale, NC 27545-7675
Phone (919) 440-0537

Other practice location 1

109 N Church St
Louisburg, NC 27549-2528
Phone (252) 477-0008

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
P020731NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
At-Home Counseling Services, Inc. Clinical PastSince Jul 9, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1548005952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MINGOCREST DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457675",
            "telephone_number": "919-440-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MINGOCREST DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457675",
            "telephone_number": "919-440-0537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 N Church St",
            "address_purpose": "LOCATION",
            "city": "Louisburg",
            "state": "NC",
            "postal_code": "275492528",
            "country_code": "US",
            "telephone_number": "252-477-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "MYAH",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.