Active NPI
Cynthia Owen, LCSW
- Clinical Social Worker
- Paducah, KY
National Provider Identifier
1659305258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1672
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 556419000 | Other | KY | MAGELLAN ID |
| 682871 | Other | KY | HEALTHLINK ID |
| 262679 | Other | KY | COMPSYCH ID |
| 000000297380 | Other | KY | BCBS 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1672 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flynn Counseling Services PLLC | Clinical | Current | Accepting new patients |
| Flynn & Owen Counseling Services | Clinical | Current | 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.
-
- Clinical Social Worker
- Paducah, KY
- NPI 1891837563
-
- Clinical Social Worker
- Paducah, KY
- NPI 1992679708
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.