Provider Demographics
NPI:1467534792
Name:OWENS, STEPHEN M (LCSW)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:M
Last Name:OWENS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 W 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:TN
Mailing Address - Zip Code:37841-2023
Mailing Address - Country:US
Mailing Address - Phone:423-569-7979
Mailing Address - Fax:423-569-2901
Practice Address - Street 1:133 W 2ND AVE
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:TN
Practice Address - Zip Code:37841-2023
Practice Address - Country:US
Practice Address - Phone:423-569-7979
Practice Address - Fax:423-569-2901
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical