MEDICARE: MAGGIE OWENS MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0906016047	VA
2	104100000X	Social Worker	0906016047	VA

General Provider Information

NPI Number	:	1922813625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGGIE OWENS MSW

Provider Business Mailing Address
First Line	:	39379 CHARLES TOWN PIKE
Second Line	:
City	:	HAMILTON
State	:	VA
Zip	:	20158-3319
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1602 VILLAGE MARKET BLVD SE STE 250
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20175-4722
Country	:	US
Telephone Number	:	667-222-0381
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2025
Last Update Date	:	02/10/2025

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Directions to “ MAGGIE OWENS MSW” Practice Location

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