Active NPI
Lori Osachy, M.S.S., L.C.S.W.
- Clinical Social Worker
- Jacksonville, FL
National Provider Identifier
1306907647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW5916
- Practice address
- 1545 Landon Ave
Jacksonville, FL 32207-8671 - Phone
- (904) 737-3232
- Fax
- (904) 396-4505
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW5916 | FL | Primary |
Addresses
Primary practice location
1545 Landon Ave
Jacksonville, FL 32207-8671
Mailing address
1545 Landon Ave
Jacksonville, FL 32207-8671
Phone (904) 737-3232
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW5916 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Body Image Counseling Center | Clinical | Past | Accepting new patients |
| The Body Image Counseling Center | 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.
-
- Clinical Social Worker
- Jacksonville, FL
- NPI 1396257630
-
- Community/Behavioral Health Agency
- Jacksonville, FL
- NPI 1922247501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443657600000",
"number": "1306907647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 LANDON AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078671",
"telephone_number": "904-737-3232",
"fax_number": "866-631-9482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 LANDON AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078671",
"telephone_number": "904-737-3232",
"fax_number": "904-396-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSACHY",
"first_name": "LORI",
"credential": "M.S.S., L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2015-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW5916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.