Individual provider Active NPI

Edmund W Osgood Jr., LCSWR

  • Social Worker
  • Corning, NY
National Provider Identifier
1083774012
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R0527541 Issued in NY
Practice address
77 E 1St St
Corning, NY 14830-2715
Phone
(607) 936-1771
Fax
(607) 936-2648
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R0527541 NY Primary

Addresses

Primary practice location

77 E 1St St
Corning, NY 14830-2715

Mailing address

77 E 1St St
Corning, NY 14830-2715
Phone (607) 936-1771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20120521000069 NY Practitioner - Clinical Social Worker 7012170582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Pathways, Inc.Group PAC ID 7416329008, 18 clinicians

Practice addresses (Care Compare)

77 E 1St St
Corning, NY 14830-2715
Phone (607) 936-1771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0527541NYMDSocial Worker
052754NYMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Erwin Psychiatric NP PLLC CurrentSince Mar 24, 2024 Accepting new patients
Pathways, Inc. Social Worker CurrentSince Apr 23, 2012 Accepting new patients

Locations

33 Denison Pkwy W
Corning, NY 14830
Phone (607) 937-3200

77 E 1st St
Corning, NY 14830
Phone (607) 936-1771

311 W Water St
Elmira, NY 14901
Phone (607) 733-0660

Organizations & group practices 2

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1083774012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E 1ST ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302715",
            "telephone_number": "607-936-1771",
            "fax_number": "607-936-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E 1ST ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302715",
            "telephone_number": "607-936-1771",
            "fax_number": "607-936-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSGOOD",
        "first_name": "EDMUND",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0527541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

Verify at the official NPI Registry.