Provider Demographics
NPI:1033907175
Name:OWSIANY, EDWARD DAVID (MSW)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:DAVID
Last Name:OWSIANY
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 SHAW AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-6237
Mailing Address - Country:US
Mailing Address - Phone:910-580-8280
Mailing Address - Fax:
Practice Address - Street 1:350 SHAW AVE
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-6237
Practice Address - Country:US
Practice Address - Phone:910-580-8280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0226641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical