Provider Demographics
NPI:1528423092
Name:OWSLEY, SAMANTHA LAUREN (BSW)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:LAUREN
Last Name:OWSLEY
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:DRAPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BSW
Mailing Address - Street 1:350 RADIO PARK DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2997
Mailing Address - Country:US
Mailing Address - Phone:859-358-5647
Mailing Address - Fax:859-254-2075
Practice Address - Street 1:350 RADIO PARK DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2997
Practice Address - Country:US
Practice Address - Phone:859-358-5647
Practice Address - Fax:859-254-2075
Is Sole Proprietor?:No
Enumeration Date:2015-12-28
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator