NPIMap

Individual provider Active NPI

Seth Raymond Osborn, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1295826931
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4199 Issued in KS
Practice address
4425 W Zoo Blvd
Suite 3
Wichita, KS 67212-1620
Phone
(316) 749-2007
Fax
(316) 943-5554
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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 4199 KS Primary

Addresses

Primary practice location

4425 W Zoo Blvd
Suite 3
Wichita, KS 67212-1620

Mailing address

4425 W Zoo Blvd
Suite 3
Wichita, KS 67212-1620
Phone (316) 749-2007

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

State licenses

LicenseStateTypeSpecialty
4199KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Miller Corp Past Accepting new patients
Integrative Counseling Center LLC Past Accepting new patients

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1295826931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 W ZOO BLVD",
            "address_2": "SUITE 3",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672121620",
            "telephone_number": "316-749-2007",
            "fax_number": "316-943-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W ZOO BLVD",
            "address_2": "SUITE 3",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672121620",
            "telephone_number": "316-749-2007",
            "fax_number": "316-943-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "SETH",
        "middle_name": "RAYMOND",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.