Individual provider Active NPI

Dani Osborne', LCSW

  • Clinical Social Worker
  • Key West, FL
National Provider Identifier
1346325693
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 10851 Issued in FL
Practice address
7 Aquamarine Dr
Key West, FL 33040-5601
Phone
(305) 879-6375
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2008022543 MO
Clinical Social Worker 1041C0700X 6216255-3502 UT
Clinical Social Worker 1041C0700X SW 10851 FL Primary

Addresses

Primary practice location

7 Aquamarine Dr
Key West, FL 33040-5601

Mailing address

7 Aquamarine Dr
Key West, FL 33040-5601

Other identifiers 1

IdentifierTypeStateIssuer
GM340AOtherMEDICARE PTHAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120925000038 FL Practitioner - Clinical Social Worker 2961650544 Practice locations: North Fort Myers, FL; Satsuma, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

124 Waterway Dr
Satsuma, FL 32189-2152
Phone (239) 209-3550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 10851FLMDClinical Social Worker
2008022543MOMDClinical Social Worker
6216255-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Health Care Services, Inc. Clinical CurrentSince Feb 1, 2013 Accepting new patients

Locations

2055 Wood St
Ste 220
Sarasota, FL 34237
Phone (941) 366-6611

153 Center Rd
Venice, FL 34285
Phone (941) 408-8988

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1346325693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 AQUAMARINE DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330405601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 AQUAMARINE DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330405601",
            "telephone_number": "305-879-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE'",
        "first_name": "DANI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2008022543",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6216255-3502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTHAN",
            "identifier": "GM340A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.