Active NPI
Georgann E Owens, LMSW-LCSW
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1811092422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26791
- Practice address
- 343 W Houston St
Suite 301
San Antonio, TX 78205-2107 - Phone
- (210) 224-0602
- Fax
- (210) 226-7153
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 26791 | TX | Primary |
Addresses
Primary practice location
343 W Houston St
Suite 301
San Antonio, TX 78205-2107
Mailing address
PO Box 700567
San Antonio, TX 78270-0567
Phone (210) 224-0602
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108116802 | Medicaid | TX | |
| 257865 | Other | TX | COMPSYCH PROVIDER # |
| 0039EX | Other | TX | BLUECROSS BLUESHIELD |
| 348327000 | Other | TX | MAGELLAN ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Group practices
Practice addresses (Care Compare)
9500 Tioga Dr
Suite a
San Antonio, TX 78230-3118
Phone (210) 616-0828
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26791 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nueva Vida Behavioral Health Associates,Inc | Current | Accepting new patients |
Locations
9500 Tioga Dr
Ste A
San Antonio, TX 78230
Phone (210) 616-0828
328 W Houston St
San Antonio, TX 78205
Phone (210) 225-3764
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.
-
- Professional Counselor
- San Antonio, TX
- NPI 1669565529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1811092422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 700567",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782700567",
"telephone_number": "210-224-0602",
"fax_number": "210-226-7153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 W HOUSTON ST",
"address_2": "SUITE 301",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782052107",
"telephone_number": "210-224-0602",
"fax_number": "210-226-7153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "GEORGANN",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LMSW-LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "26791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108116802",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH PROVIDER #",
"identifier": "257865",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "0039EX",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN ID",
"identifier": "348327000",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.