Active NPI
Mikki Owens
- Social Worker
- Hurricane, WV
National Provider Identifier
1699137190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- AP00943974
- Practice address
- 3744 Teays Valley Rd
Suite 210
Hurricane, WV 25526-8755 - Phone
- (304) 419-4100
- NPI assigned
- Mar 23, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | AP00943974 | WV | Primary |
Addresses
Primary practice location
3744 Teays Valley Rd
Suite 210
Hurricane, WV 25526-8755
Mailing address
3744 Teays Valley Rd
Suite 210
Hurricane, WV 25526-8755
Phone (304) 419-4100
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 |
|---|---|---|---|
| AP00943974 | WV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Family Support LLC | Past | 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 and National Provider Directory roles.
-
- Case Management Agency
- Hurricane, WV
- NPI 1154796134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1699137190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3744 TEAYS VALLEY RD",
"address_2": "SUITE 210",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255268755",
"telephone_number": "304-419-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3744 TEAYS VALLEY RD",
"address_2": "SUITE 210",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255268755",
"telephone_number": "304-419-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "MIKKI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-23",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "AP00943974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurricane, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.