Provider Demographics
NPI:1831945534
Name:OWENS, TAINESHA LASHAY (MSW,LSW)
Entity type:Individual
Prefix:
First Name:TAINESHA
Middle Name:LASHAY
Last Name:OWENS
Suffix:
Gender:
Credentials:MSW,LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 E 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-1602
Mailing Address - Country:US
Mailing Address - Phone:614-735-0838
Mailing Address - Fax:
Practice Address - Street 1:1941 S 42ND ST STE 542
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-2945
Practice Address - Country:US
Practice Address - Phone:614-735-0838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-24
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8039104100000X
NE13942104100000X
OHS.2308771104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker