Individual provider Active NPI

Maria Owens, LISW

  • Clinical Social Worker
  • Rocky River, OH
National Provider Identifier
1952373359
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0009664 Issued in OH
Practice address
20325 Center Ridge Rd Ste 612
Rocky River, OH 44116-3554
Phone
(216) 926-1369
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0009664-SUPV OH
Clinical Social Worker 1041C0700X I-0009664 OH Primary

Addresses

Primary practice location

20325 Center Ridge Rd Ste 612
Rocky River, OH 44116-3554

Mailing address

30400 Detroit #301
Westlake, OH 44145-4444
Phone (216) 926-1369

Other practice location 1

30400 Detroit Suite 301
Westlake, OH 44145-5345
Phone (216) 926-1369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130325000505 OH Practitioner - Clinical Social Worker 8224273115 Practice locations: Rocky River, OH; Westlake, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30400 Detroit Rd
Suite 301
Westlake, OH 44145-1855
Phone (216) 926-1369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0009664OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Owens Inc. Clinical CurrentSince Feb 11, 2024 Accepting new patients
Psychological & Behavioral Consultants, LLC Clinical PastSince Mar 1, 2000 Accepting new patients

Locations

20325 Center Ridge Rd
Ste 612
Rocky River, OH 44116
Phone (216) 352-4256

30400 Detroit Rd
Ste 301
Westlake, OH 44145
Phone (216) 926-1369

Organizations & group practices 2

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1952373359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30400 DETROIT #301",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454444",
            "telephone_number": "216-926-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 CENTER RIDGE RD STE 612",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163554",
            "telephone_number": "216-926-1369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30400 Detroit Suite 301",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441455345",
            "country_code": "US",
            "telephone_number": "216-926-1369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "MARIA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009664-SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0009664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.