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General NPI Number Information
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NPI Number | 1255001434
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Entity Type | Individual
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Provider Name | ELLEN OWEN MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/17/2021
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Last Update Date | 05/11/2025
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Provider Practice Location Address
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Address Line | 1753 WYATT PKWY
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City | LEXINGTON
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State | KY
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Zip | 40505-4041
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Country | US
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Telephone | 970-799-8946
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Fax |
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Provider Business Mailing Address
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Address Line | 41 W HIGHWAY 14
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City | SPEARFISH
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State | SD
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Zip | 57783-1148
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Country | US
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Telephone | 970-799-8946
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LICSW126266
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 117887
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 28517
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC06238100
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C016681
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 89.0134549
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License Number State | VT
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW022046
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License Number State | PA
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