Individual provider Active NPI

Jordan Elena Osher, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1093049769
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59225 Issued in TX
Practice address
2200 W North Loop Blvd Apt 208
Austin, TX 78756-2335
Phone
(301) 922-7477
NPI assigned
Sep 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 59225 TX Primary

Addresses

Primary practice location

2200 W North Loop Blvd Apt 208
Austin, TX 78756-2335

Mailing address

2200 W North Loop Blvd Apt 208
Austin, TX 78756-2335
Phone (301) 922-7477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1093049769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W NORTH LOOP BLVD APT 208",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562335",
            "telephone_number": "301-922-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W NORTH LOOP BLVD APT 208",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562335",
            "telephone_number": "301-922-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHER",
        "first_name": "JORDAN",
        "middle_name": "ELENA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.