Individual
BONNIE E OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
100 EAST OLD COUNTRY ROAD, SUITE 15, MINEOLA, NY 11510-4614
(516) 353-3022
(516) 868-2591
Mailing address
245 WESTEND AVENUE, FREEPORT, NY 11520-5243
(516) 353-3022
(516) 868-2591
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R048687-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7341501
GHI/VALUE OPTIONS
NY
01
—
P2576099
OXFORD HEALTH PLAN
NY
Enumeration date
10/25/2006
Last updated
07/08/2007
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