Individual provider Active NPI

Jennifer Owen, CSW

  • Clinical Social Worker
  • Calhoun, KY
National Provider Identifier
1952851255
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6587 Issued in KY
Practice address
180 Main Street
Calhoun, KY 42327-0654
Phone
(270) 273-3050
Fax
(270) 273-3052
NPI assigned
Oct 11, 2016
Last updated
Oct 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6587 KY Primary

Addresses

Primary practice location

180 Main Street
Calhoun, KY 42327-0654

Mailing address

PO Box 654
Calhoun, KY 42327-0654
Phone (270) 273-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241111001541 KY Practitioner - Clinical Social Worker 5496289662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truenorth Treatment Center LLCGroup PAC ID 5294068813, 8 clinicians

Practice addresses (Care Compare)

121 E 2ND St
Suite 401
Owensboro, KY 42303-4118
Phone (270) 240-1785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6587KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Truenorth Treatment Center, LLC Clinical CurrentSince Sep 1, 2024 Accepting new patients
Elizabeth Bennett Counseling PastSince Sep 1, 2024 Accepting new patients
Gray Counseling Services PLLC Clinical PastSince Aug 4, 2015 Accepting new patients

Locations

121 E 2nd St
Ste 401
Owensboro, KY 42303
Phone (270) 240-1785

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1952851255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 654",
            "city": "CALHOUN",
            "state": "KY",
            "postal_code": "423270654",
            "telephone_number": "270-273-3050",
            "fax_number": "270-273-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MAIN STREET",
            "city": "CALHOUN",
            "state": "KY",
            "postal_code": "423270654",
            "telephone_number": "270-273-3050",
            "fax_number": "270-273-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "JENNIFER",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "6587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, KY

Sources for this page

Verify at the official NPI Registry.