MR. JESSE LEE OWENS M.A, LCSW
NPI 1871586214
Social Worker - Clinical in South Holland, IL

Active since August 30, 2005
15475 S PARK AVE STE 102, SOUTH HOLLAND, IL 60473(312) 480-5775(312) 436-5208 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jesse Lee Owens M.a, Lcsw NPPES

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

MR. JESSE LEE OWENS M.A, LCSW (NPI 1871586214) is an individual clinical provider in South Holland, Illinois, licensed in Illinois (149-007440) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1871586214
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JESSE LEE OWENSCredential: M.A, LCSW
Location Address15475 S PARK AVE STE 102South Holland, IL 60473-1378
Mailing AddressPo Box 84Glenwood, IL 60425-0084 · (773) 759-2109 · Fax (773) 238-5902
Fax(312) 436-5208
Sole ProprietorYes
Enumeration DateAugust 30, 2005
Last NPPES UpdateOctober 10, 2017
NPI 1871586214 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 IL · 149-007440
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 ListedSocial Worker · SchoolTaxonomy 1041S0200X
15475 S PARK AVE STE 102, South Holland, IL 60473

Other Names 1

Professional Name (2)Mr. Jesse Lee Owens Lcsw

Other Identifiers 3

Other01634638IL · Bcbs Of Illinois
Other810323000IL · Magellan Behavioral Health
Medicare PIN243340IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Owens's NPI number?

The NPI number for Jesse Owens is 1871586214. It was assigned to this individual provider in the NPPES registry on August 30, 2005. The provider is also known as Mr. Jesse Lee Owens Lcsw.

Where is Jesse Owens located?

Jesse Owens practices at 15475 S Park Ave Ste 102, South Holland, IL 60473. The listed phone number is (312) 480-5775.

What is Jesse Owens's specialty?

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

When was this NPI record last updated?

The NPPES record for Jesse Owens was last updated on October 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.