Sandra Owens, PHD, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9009-C Issued in NV

Practice address

1676 Ravanusa Dr
Henderson, NV 89052-3103

Phone

(702) 612-6371

NPI assigned

Nov 27, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, NM2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bauza Neuropsychiatry Center LLCGroup PAC ID 7618370040, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Bauza Neuropsychiatry Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1912596685
  Medicare reassignment Care Compare group NPD
• Insight Therapy Solutions LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1639414279

  Social Worker

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, NM

  Medicare reassignment NPD
• Assurance Services LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1053804161
  NPD (past)
• Trydent Services LLC

  • Addiction (Substance Use Disorder) Counselor
  • Las Vegas, NV
  • NPI 1215607601
  NPD (past)

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1881024909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 W SERENE AVE UNIT 245",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891236549",
            "telephone_number": "702-612-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 RAVANUSA DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523103",
            "telephone_number": "702-612-6371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2405 W Serene Ave Unit 245",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891236549",
            "country_code": "US",
            "telephone_number": "702-612-6371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2405 W Serene Ave Unit 245",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891236549",
            "country_code": "US",
            "telephone_number": "702-612-6371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2405 W Serene Ave Unit 245",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891236549",
            "country_code": "US",
            "telephone_number": "702-612-6371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9009-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owens Psychological Services
• Camille Tina Owens
• Darwin Owens
• Deborah Owens
• Joshua Morgan Owens, PHYSICIAN ASSISTANT
• Shannon Victoria Owens
• Whitney Elizabeth Owens, PSYD
• Jerry Ellen Owensby, M.D.
• Danielle Owusu
• Adriel Ozaeta

• Clinical Social Worker in Henderson, NV
• Providers in Henderson, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.

Verify at the official NPI Registry.