OWEN AKENZUA LCSW
NPI 1477281194
Social Worker - Clinical in Upland, CA

Q: What is Owen Akenzua's NPI number?

The NPI number for Owen Akenzua is 1477281194. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Q: What is Owen Akenzua's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Owen Akenzua was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 10, 2022PECOS EnrolledAccepts Medicare Assignment

954 W FOOTHILL BLVD STE A, UPLAND, CA 91786(909) 946-4222(909) 946-8243 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2025, Nov 17, 2023, Aug 10, 2022 (3 updates tracked since 2022).

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About Owen Akenzua Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OWEN AKENZUA LCSW (NPI 1477281194) is an individual clinical provider in Upland, California, licensed in California (130217) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fontana, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1477281194

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameOWEN AKENZUACredential: LCSW

Location Address954 W FOOTHILL BLVD STE AUpland, CA 91786-3782

Mailing Address954 W Foothill Blvd Ste AUpland, CA 91786-3782 · (909) 946-4222 · Fax (909) 946-8243

Phone(909) 946-4222

Fax(909) 946-8243

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 10, 2022

Last NPPES UpdateMay 28, 20253 updates tracked since enumeration

NPPES CertifiedMay 28, 2025

✔ NPI 1477281194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 130217

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 130217 (CA)

954 W FOOTHILL BLVD STE A, Upland, CA 91786

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Secondary Practice Location 1

Location 114677 Merrill AveFontana, CA 92335-4219 · Phone (951) 643-2340

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Owen Akenzua Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183137268

PECOS Enrollment IDI20250701003942

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $59.60 – $179.42

Typical copayment $0.00 (range $14.90 – $44.85)

Most-billed visit code NA

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HYE KYUNG JEON CHASE FNP

Nurse Practitioner (Family)