Jimmy Owens, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1027372 Issued in MA

Practice address

14 Shirley St
Unit C-1
New Bedford, MA 02746-1150

Phone

(508) 993-5113

Fax

(508) 984-3389

NPI assigned

Sep 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1982890794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SHIRLEY ST",
            "address_2": "UNIT C-1",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027461150",
            "telephone_number": "508-993-5113",
            "fax_number": "508-984-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SHIRLEY ST",
            "address_2": "UNIT C-1",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027461150",
            "telephone_number": "508-993-5113",
            "fax_number": "508-984-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JIMMY",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-15",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1027372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwapelumi Osibanjo, M.D.
• Elda V Othello, MS
• Nathan Ouellette
• Overlook Visiting Nurse Association, Inc.
• Brianna Owen
• Olivia Owens
• Oluranti Oyetayo
• Alyssa Pacheco, RD, LDN
• Amanda Pacheco
• Jared Pacheco

• Clinical Social Worker in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.