Dale Lauren Osborn, ASSOCIATE CLINICAL S

Primary specialty

Social WorkerTaxonomy code 104100000X

License

94293 Issued in CA

Practice address

1501 Hughes Way
Ste. 100
Long Beach, CA 90810

Phone

(562) 548-6565

Fax

(562) 685-0426

NPI assigned

Nov 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Dayle Lauren Osborn Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1497399034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 EAST BIXBY ROAD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90807",
            "telephone_number": "562-212-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HUGHES WAY",
            "address_2": "STE. 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90810",
            "telephone_number": "562-548-6565",
            "fax_number": "562-685-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "DALE",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "ASSOCIATE CLINICAL S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "94293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAYLE",
            "last_name": "OSBORN",
            "middle_name": "LAUREN",
            "prefix": "MS.",
            "credential": "ASSOCIATE CLINICAL S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rocio Ortiz
• Vanessa Ortiz
• Brittney Orwin, BCBA
• Douglas Hiroshi Osato, PHARM.D.
• Chelsi Rae Osborn, FNP
• David John Osborn, D.D.S,M.A.G.D.
• Lindsay Osborn, OTR/L
• James Francis Osborne IV, LCSW, LMSW
• Susan Osborne, LMFT
• Karless Osby

• Social Worker in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.