Yeside Imani Benson Osas, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

115245-01 Issued in NY

Practice address

483 Ashford Ave
Ardsley, NY 10502-2124

Phone

(914) 886-3233

NPI assigned

Feb 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Yeside Imani Shobowale-Benson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1285333534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 ASHFORD AVE",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 ASHFORD AVE",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022124",
            "telephone_number": "914-886-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAS",
        "first_name": "YESIDE IMANI",
        "middle_name": "BENSON",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "115245-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YESIDE IMANI",
            "last_name": "SHOBOWALE-BENSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Social Worker in Ardsley, NY
• Providers in Ardsley, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.