Individual provider Active NPI

Betsy Jane Osborn, LCSW

  • Clinical Social Worker
  • Latham, NY
National Provider Identifier
1487879458
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PRO14555-1 Issued in NY
Practice address
596 New Loudon Rd
Latham, NY 12110-4024
Phone
(518) 782-9663
Fax
(518) 783-4793
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PRO14555-1 NY Primary

Addresses

Primary practice location

596 New Loudon Rd
Latham, NY 12110-4024

Mailing address

596 New Loudon Rd
Latham, NY 12110-4024
Phone (518) 782-9663

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRO14555-1NYMDClinical Social Worker
014555NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
William J Feeney MD PLLC PastSince Jul 1, 2004 Accepting new patients
Steven E Fox Inc PastSince Aug 16, 2012 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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1487879458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104024",
            "telephone_number": "518-782-9663",
            "fax_number": "518-783-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104024",
            "telephone_number": "518-782-9663",
            "fax_number": "518-783-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "BETSY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PRO14555-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.