Individual provider Active NPI

Eileen Marie Osgood, LCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1215016464
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001170 Issued in VA
Practice address
327 W 21St Street
Suite 205
Norfolk, VA 23517
Phone
(757) 622-9852
Fax
(757) 622-4033
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0904001170 VA Primary

Addresses

Primary practice location

327 W 21St Street
Suite 205
Norfolk, VA 23517

Mailing address

327 W 21St Street
Suite 205
Norfolk, VA 23517
Phone (757) 622-9852

Other identifiers 1

IdentifierTypeStateIssuer
7134301MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20051123000543 VA Practitioner - Clinical Social Worker 2961422654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

129 W Virginia Beach Blvd
Suite 204B
Norfolk, VA 23510-2030
Phone (757) 514-1439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904001170VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eileen M Osgood, LCSW, LLC Clinical CurrentSince May 1, 2022 Accepting new patients
Laura G Forman, Psy.D, Fapa, LLC PastSince May 1, 2022 Accepting new patients

Locations

129 W Virginia Beach Blvd
#204B
Norfolk, VA 23510
Phone (757) 514-1439

129 W Virginia Beach Blvd
Ste 204B
Norfolk, VA 23510
Phone (757) 514-1439

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215016464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 W 21ST STREET",
            "address_2": "SUITE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23517",
            "telephone_number": "757-622-9852",
            "fax_number": "757-622-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 W 21ST STREET",
            "address_2": "SUITE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23517",
            "telephone_number": "757-622-9852",
            "fax_number": "757-622-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSGOOD",
        "first_name": "EILEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7134301",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.