Active NPI
John Connell Osborne, LCSW
- Clinical Social Worker
- Walnut Creek, CA
National Provider Identifier
1154500908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 8782
- Practice address
- 1280 Boulevard Way
Suite 212
Walnut Creek, CA 94595-1125 - Phone
- (925) 932-0173
- NPI assigned
- Oct 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 8782 | CA | Primary |
Addresses
Primary practice location
1280 Boulevard Way
Suite 212
Walnut Creek, CA 94595-1125
Mailing address
1280 Boulevard Way
Suite 212
Walnut Creek, CA 94595-1125
Phone (925) 932-0173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 4, 2025 through Sep 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8782 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| LCS 8782 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1154500908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1280 BOULEVARD WAY",
"address_2": "SUITE 212",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945951125",
"telephone_number": "925-932-0173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 BOULEVARD WAY",
"address_2": "SUITE 212",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945951125",
"telephone_number": "925-932-0173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "JOHN",
"middle_name": "CONNELL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-29",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 8782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.