Kelly Ann Osborne

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MSW011096 Issued in GA

Practice address

412 US Highway 80 SW
Pooler, GA 31322-2541

Phone

(912) 712-2550

NPI assigned

Jul 2, 2024

Last updated

Aug 7, 2024By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cootecare Counseling

  • Clinical Social Worker
  • Savannah, GA
  • NPI 1700393162
  NPD (past)

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1376389023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8628 CRESTHILL AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314066118",
            "telephone_number": "772-646-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 US HIGHWAY 80 SW",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313222541",
            "telephone_number": "912-712-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Abercorn St Ste 301B",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314014069",
            "country_code": "US",
            "telephone_number": "833-232-6638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW011096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Luis Orsini, SFIDC
• Ortho Sport and Spine Physicians Pooler
• Orthopedic Center PC (Optim Health)
• Chasidy Ortiz, RBT
• Katherine Victoria Osborne, PT, DPT
• Sophie Elizabeth Osborne
• Outpatient Imaging Services LLC
• John Robert Oviedo, PT
• Sara Owens
• Sarah Calhoun Padgett

• Clinical Social Worker in Pooler, GA
• Providers in Pooler, 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 Aug 7, 2024; 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.