Individual provider Active NPI

Cynthia Owen, LCSW

  • Clinical Social Worker
  • Paducah, KY
National Provider Identifier
1659305258
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1672 Issued in KY
Practice address
5120 Village Square Dr
Suite 101
Paducah, KY 42001-9060
Phone
(270) 538-0851
Fax
(270) 538-0852
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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 1672 KY Primary

Addresses

Primary practice location

5120 Village Square Dr
Suite 101
Paducah, KY 42001-9060

Mailing address

5120 Village Square Dr
Suite 101
Paducah, KY 42001-9060
Phone (270) 538-0851

Other identifiers 4

IdentifierTypeStateIssuer
556419000OtherKYMAGELLAN ID
682871OtherKYHEALTHLINK ID
262679OtherKYCOMPSYCH ID
000000297380OtherKYBCBS ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20081119000105 KY Practitioner - Clinical Social Worker 1850451907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Flynn and Owen Counseling ServicesGroup PAC ID 4789602277, 2 clinicians

Practice addresses (Care Compare)

5120 Village Square Dr
Suite 101
Paducah, KY 42001-9560
Phone (270) 538-0851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1672KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Flynn Counseling Services PLLC Clinical CurrentSince Oct 5, 2025 Accepting new patients
Flynn & Owen Counseling Services Clinical CurrentSince Apr 8, 2003 Accepting new patients
Fibro Care Clinic, LLC Clinical Past Accepting new patients

Locations

5120 Village Square Dr
Ste 101
Paducah, KY 42001
Phone (270) 538-0851

Organizations & group practices 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1659305258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 VILLAGE SQUARE DR",
            "address_2": "SUITE 101",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019060",
            "telephone_number": "270-538-0851",
            "fax_number": "270-538-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 VILLAGE SQUARE DR",
            "address_2": "SUITE 101",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019060",
            "telephone_number": "270-538-0851",
            "fax_number": "270-538-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "CYNTHIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN ID",
            "identifier": "556419000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK ID",
            "identifier": "682871",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH ID",
            "identifier": "262679",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "000000297380",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.