Individual provider Active NPI

Courtney Diane Owen, L.C.S.W.

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1962768085
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CW017267 Issued in PA
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

Updated by the provider on Feb 1, 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 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

LicenseStateTypeSpecialty
CW017267PAMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.