Individual provider Active NPI

Osmara Reyes-Osorio, LCSW

  • Clinical Social Worker
  • Rolling Hills Estates, CA
National Provider Identifier
1295811362
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23157 Issued in CA
Practice address
827 Deep Valley Drive East
#207
Rolling Hills Estates, CA 90274
Phone
(310) 625-4406
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW16271 FL
Clinical Social Worker 1041C0700X 23157 CA Primary

Addresses

Primary practice location

827 Deep Valley Drive East
#207
Rolling Hills Estates, CA 90274

Mailing address

827 Deep Valley Dr Ste 207
Rolling Hills Estates, CA 90274-3654
Phone (310) 625-4406

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bodyandmindtherapists@hotmail.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW16271FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1295811362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DR STE 207",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743654",
            "telephone_number": "310-625-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DRIVE EAST",
            "address_2": "#207",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "90274",
            "telephone_number": "310-625-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-OSORIO",
        "first_name": "OSMARA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16271",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bodyandmindtherapists@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "827 Deep Valley Dr Ste 207",
            "city": "Rolling Hills Estates",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902743654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.