Active NPI
Courtney Diane Owen, L.C.S.W.
- Community/Behavioral Health Agency
- Philadelphia, PA
National Provider Identifier
1962768085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CW017267
- Practice address
- 2100 Arch St FL 5
Philadelphia, PA 19103-1300 - Phone
- (267) 256-2100
- NPI assigned
- Apr 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW017267 | PA | |
| Community/Behavioral Health Agency | 251S00000X | CW017267 | PA | Primary |
Addresses
Primary practice location
2100 Arch St FL 5
Philadelphia, PA 19103-1300
Mailing address
345 Montgomery Ave
Bala Cynwyd, PA 19004-2801
Phone (504) 644-7711
Other practice location 1
6120 Woodland Ave # B
Philadelphia, PA 19142-3224
Phone (215) 727-4721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW017267 | PA | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice & Counseling Services Network, Inc. | Past | Accepting new patients | |
| Family Practice & Counseling Services Network, Inc. | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1043204811
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1285628826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1962768085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 MONTGOMERY AVE",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042801",
"telephone_number": "504-644-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 ARCH ST FL 5",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191031300",
"telephone_number": "267-256-2100"
}
],
"practiceLocations": [
{
"address_1": "6120 Woodland Ave # B",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191423224",
"country_code": "US",
"telephone_number": "215-727-4721",
"fax_number": "215-726-4507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OWEN",
"first_name": "COURTNEY",
"middle_name": "DIANE",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-03",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW017267",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "CW017267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.