Dana Marie Osborne, M.A., LPCC, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23262 Issued in MN

Practice address

316 Elm Ave # 243
Moose Lake, MN 55767-7706

Phone

(218) 727-5400

Fax

(218) 727-0077

NPI assigned

Jan 11, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Dana Marie Bartlett Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Minnesota Medical School, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Melissa Anderson Psychological Services, PLLCGroup PAC ID 0547589723, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Melissa Anderson Psychological Services, PLLC

  • Clinical Psychologist
  • Moose Lake, MN
  • NPI 1306224365
  Medicare reassignment Care Compare group NPD
• Moose Lake Community Hospital District

  • Critical Access Hospital
  • Moose Lake, MN
  • NPI 1942398029
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033395751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 ELM AVE # 243",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "557677706",
            "telephone_number": "218-485-4445",
            "fax_number": "218-485-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 ELM AVE # 243",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "557677706",
            "telephone_number": "218-727-5400",
            "fax_number": "218-727-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.A., LPCC, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "00359",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "BARTLETT",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott Nielsen, MA, CPRP
• Glenn H. Nordehn, D.O.
• Northern Lakes Surgery Center LLC
• Northern Lakes Surgery Center LLC
• Northern Lakes Surgery Center LLC
• Keri Ann Ovsak, RN, MA, FNP-BC
• Leah Pederson, OTR/L
• Susan E. Persons, MS, LP
• Leann Poirier, OTR/L
• Barbara J. Reed, M.D.

• Clinical Social Worker in Moose Lake, MN
• Providers in Moose Lake, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.