Provider Demographics
NPI:1417408808
Name:OWENS, JANELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:OWENS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10940 WILSHIRE BLVD STE 1600
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-3910
Mailing Address - Country:US
Mailing Address - Phone:323-673-5062
Mailing Address - Fax:
Practice Address - Street 1:10940 WILSHIRE BLVD STE 1600
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-3910
Practice Address - Country:US
Practice Address - Phone:323-673-5062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-20
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA783531041C0700X
225400000X
CA979661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner