Keira Oseroff, LCSW CEDS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003423 Issued in GA

Practice address

3855 Shallowford Rd Ste N420
Marietta, GA 30062-4195

Phone

(770) 592-0566

Fax

(770) 592-0326

NPI assigned

Mar 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hope Homes Recovery, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Atlanta, GA
  • NPI 1811464035
  NPD Authorized official

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1295976793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 SHALLOWFORD RD STE 420",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624197",
            "telephone_number": "770-592-0566",
            "fax_number": "770-592-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 SHALLOWFORD RD STE N420",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624195",
            "telephone_number": "770-592-0566",
            "fax_number": "770-592-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEROFF",
        "first_name": "KEIRA",
        "credential": "LCSW CEDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "003423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "3855 Shallowford Rd Ste N420",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300624195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany Osborne
• Donna Regina Osborne, LMT
• Gavin Osborne
• Aminta Osejo, LAPC, CADC II, NCC
• Renea Johnson Oseni, PHD
• Blue Osibogun
• Victor Osisanya, M.D.
• Nasra Osman, PA
• Oss Care & Consulting, LLC
• Jeanette Lynn Ostell, MASSAGE THERAPIST

• Clinical Social Worker in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.