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NPI Code Detail

MEDICARE: TIMOTHY NEWTON OWENS LCSW

MEDICARE: TIMOTHY NEWTON OWENS LCSW
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
11041C0700XClinical Social Worker34006757AIN

General Provider Information

NPI Number : 1083042303
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY NEWTON OWENS LCSW
Provider Business Mailing Address
First Line : 340 N DEQUINCY ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46201-3706
Country : US
Telephone Number : 317-506-4097
Fax Number :
Provider Business Practice Location Address
First Line : 7830 JOHNSON RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2075
Country : US
Telephone Number : 317-396-0683
Fax Number : 317-396-0687
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2013
Last Update Date : 12/10/2014

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Directions to “ TIMOTHY NEWTON OWENS LCSW” Practice Location

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