Individual provider Active NPI

Otasowie Lillian Osaigbovo, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1083203046
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097870 Issued in NY
Practice address
1178 Broadway FL 3
New York, NY 10001-5666
Phone
(551) 257-3810
NPI assigned
Jan 14, 2021
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06442400 NJ
Clinical Social Worker 1041C0700X 014863 CT
Clinical Social Worker 1041C0700X 097870 NY Primary

Addresses

Primary practice location

1178 Broadway FL 3
New York, NY 10001-5666

Mailing address

1178 Broadway FL 3
New York, NY 10001-5666
Phone (551) 257-3810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240728000036 NY Practitioner - Clinical Social Worker 5698211597 Reassigns benefits to 1 organization
Practice locations: New York, NY
I20250128001520 CT Practitioner - Clinical Social Worker 5698211597 Reassigns benefits to 1 organization
I20250129000065 NJ Practitioner - Clinical Social Worker 5698211597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1178 Broadway
New York, NY 10001-5404
Phone (551) 257-3810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014863CTMDClinical Social Worker
44SC06442400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jun 29, 2024 Accepting new patients
The Room for Therapy LCSW PLLC Clinical Current Accepting new patients
Grow Healthcare Group of New Jersey PC Clinical CurrentSince Dec 24, 2024 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

1178 Broadway
Fl 3
New York, NY 10001
Phone (201) 497-4377

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1083203046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 BROADWAY FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015666",
            "telephone_number": "551-257-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 BROADWAY FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015666",
            "telephone_number": "551-257-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAIGBOVO",
        "first_name": "OTASOWIE",
        "middle_name": "LILLIAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06442400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "014863",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.