Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Owen Akenzua, LCSW

Individual provider Mental Health Counselor · NPI 1477281194

Owen Akenzua, LCSW is a Clinical Social Worker in Upland, California. Qualified in 2024, 2 years ago. Practices with Foothills Psychological Services Inc, a 37-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

954 W Foothill Blvd Ste A
Upland, CA 91786-3782
Phone: (909) 946-4222
Fax: (909) 946-8243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14677 Merrill Ave, Fontana, CA 92335-4219 — (951) 643-2340

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 130217 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 130217 (CA)

Record details

NPI number1477281194
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 10, 2022
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Foothills Psychological Services Inc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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