Individual provider Active NPI

Monica Osborne, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1457798464
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080263 Issued in NY
Practice address
181 N 11TH St
Suite 404
Brooklyn, NY 11211-1100
Phone
(973) 454-8002
NPI assigned
May 30, 2013
Reactivated
Nov 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 080263 NY Primary

Addresses

Primary practice location

181 N 11TH St
Suite 404
Brooklyn, NY 11211-1100

Mailing address

181 N 11TH St Apt 203
Brooklyn, NY 11211-1142
Phone (973) 454-8002

Other practice location 1

111 N 7th St
Brooklyn, NY 11249
Phone (973) 454-8002

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

LicenseStateTypeSpecialty
080263NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1457798464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 N 11TH ST APT 203",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111142",
            "telephone_number": "973-454-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 N 11TH ST",
            "address_2": "SUITE 404",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111100",
            "telephone_number": "973-454-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11249",
            "country_code": "US",
            "telephone_number": "973-454-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "MONICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "deactivation_date": "2014-09-16",
        "reactivation_date": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.