Individual provider Active NPI

Donna-Jean Owens, LCSW, MAC

  • Clinical Social Worker
  • Marietta, GA
National Provider Identifier
1912267782
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003676 Issued in GA
Practice address
145 Church St NE
Ste 105
Marietta, GA 30060-1620
Phone
(404) 618-6955
Fax
(404) 448-3276
NPI assigned
May 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW003676 GA Primary

Addresses

Primary practice location

145 Church St NE
Ste 105
Marietta, GA 30060-1620

Mailing address

145 Church St NE Ste 105
Marietta, GA 30060-1620
Phone (404) 618-6955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20230707000579 GA Practitioner - Clinical Social Worker 1456710516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Behavioral Health and Wellness, LLCGroup PAC ID 0547629602, 2 clinicians

Practice addresses (Care Compare)

145 Church St NE
Suite 105
Marietta, GA 30060-1620
Phone (404) 618-6955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW003676GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Behavioral Health & Wellness, LLC Clinical CurrentSince May 31, 2023 Accepting new patients

Locations

145 Church St NE
Ste 285
Marietta, GA 30060

145 Church St NE
Ste 105
Marietta, GA 30060
Phone (404) 618-6955

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.

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1912267782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CHURCH ST NE STE 105",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601620",
            "telephone_number": "404-618-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CHURCH ST NE",
            "address_2": "STE 105",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601620",
            "telephone_number": "404-618-6955",
            "fax_number": "404-448-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "DONNA-JEAN",
        "credential": "LCSW, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.