Watt Osage, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3803 Issued in OK

Practice address

1700 W Broadway St
Muskogee, OK 74401-3340

Phone

(918) 681-4201

NPI assigned

Apr 16, 2007

Last updated

Oct 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Song Byrd Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Muskogee, OK
  • NPI 1396045092
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1073738100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77",
            "city": "WELLING",
            "state": "OK",
            "postal_code": "744710077",
            "telephone_number": "918-431-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744013340",
            "telephone_number": "918-681-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAGE",
        "first_name": "WATT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• On Target Counseling & Wellness Services LLC
• Lonnie Orman, APRN
• Orpro Inc (OrPro Prosthetics & Orthotics)
• Orthopedic Center of Muskogee
• Monica Alexandra Ortiz-Pacurucu, MD
• Erik Jon Ostrowski, MS, ACSM-RCEP, CCRP
• Osu Center for Health Sciences (Osu-Aj Ies ER Oklahoma LLC - Muskogee)
• Osu Center for Health Sciences (Osu-Aj Hoos Pediatric and Adolescent Care, PLLC)
• Osu Center for Health Sciences (Osu-Aj Premier Pediatrics of Muskogee)
• Osu Center for Health Sciences (Osu-Aj Triad Eye Institute - Muskogee)

• Clinical Social Worker in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.