Individual provider Active NPI

Shannon Owens, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1598347296
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
93750 Issued in CA
Practice address
2901 Meadow Lark Dr
San Diego, CA 92123-2711
Phone
(858) 694-4500
NPI assigned
Apr 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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 93750 CA Primary

Addresses

Primary practice location

2901 Meadow Lark Dr
San Diego, CA 92123-2711

Mailing address

2901 Meadow Lark Dr
San Diego, CA 92123-2711
Phone (858) 694-4646

Other practice location 1

446 Alta Rd Ste 6100
San Diego, CA 92158-2711
Phone (858) 514-3138

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Shannon.Owens@sdcounty.ca.gov

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
93750CAMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: shannon.owens@sdcounty.ca.gov

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1598347296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 MEADOW LARK DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232711",
            "telephone_number": "858-694-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 MEADOW LARK DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232711",
            "telephone_number": "858-694-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "446 Alta Rd Ste 6100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921582711",
            "country_code": "US",
            "telephone_number": "858-514-3138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shannon.Owens@sdcounty.ca.gov",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "2901 Meadow Lark Dr",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921232711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.