Jennifer Owen, CSW
Individual provider Active NPI Clinical Social Worker · Calhoun, KY
NPI 1952851255 · NPPES record last updated Oct 11, 2016
Key facts
- NPI
- 1952851255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6587 (KY)
- Practice address
- 180 Main Street
Calhoun, KY 42327-0654 - Phone
- (270) 273-3050
- Fax
- (270) 273-3052
- NPI assigned
- Oct 11, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Truenorth Treatment Center LLC
Practice addresses (Care Compare)
121 E 2ND St
Suite 401
Owensboro, KY 42303-4118
Phone (270) 240-1785
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241111001541 | KY | Practitioner - Clinical Social Worker | 5496289662 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6587 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truenorth Treatment Center, LLC | Clinical | Current |
Accepting new patients |
| Gray Counseling Services PLLC | Clinical | Past |
Accepting new patients |
Locations
121 E 2nd St
Ste 401
Owensboro, KY 42303
Phone (270) 240-1785
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6587 | KY | Yes |
Addresses
Primary practice location
180 Main Street
Calhoun, KY 42327-0654
Mailing address
PO Box 654
Calhoun, KY 42327-0654
Phone (270) 273-3050
Other providers in Calhoun, KY
- Darin Jacoby
- Angela Kay Klump
- LP Calhoun, LLC
- McLean County Public Schools
- McLean County Treasurer
- Owensboro Health Medical Group, Inc
- Mary Ann Rafferty
- Regional Health Care Affiliates, Inc
- Mallory Sanderfur Roberts
- James Douglas Toler
All providers in Calhoun, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.