Organization Active NPI

Robert Osborn, LCSW, LLC

  • Clinical Social Worker
  • Henrico, VA
National Provider Identifier
1568160307
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROBERT OSBORN, LCSW, LLC
Doing business as
Robert Osborn, LCSW, LLC
Practice address
1421 Burning Tree Rd
Henrico, VA 23231-6804
Phone
(804) 218-4382
Fax
(804) 486-5290
NPI assigned
Feb 21, 2023
Last updated
Aug 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ROBERT OSBORN, LCSW, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Brenna M Sellers, MEDICAL BILLER
Title
Owner of Balanced Billing Services
Phone
(458) 215-1239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1421 Burning Tree Rd
Henrico, VA 23231-6804

Mailing address

1421 Burning Tree Rd
Henrico, VA 23231-6804
Phone (804) 218-4382

Other names 1

  • Robert Osborn, LCSW, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230527000083 VA Part B Supplier - Clinic/Group Practice 2668839101 Receives reassigned benefits from 1 practitioner
Practice locations: Henrico, VA

National Provider Directory

National Provider Directory
Part of
Robert Osborn LCSW LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1568160307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 BURNING TREE RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232316804",
            "telephone_number": "804-218-4382",
            "fax_number": "804-486-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 BURNING TREE RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232316804",
            "telephone_number": "804-218-4382",
            "fax_number": "804-486-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT OSBORN, LCSW, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT OSBORN, LCSW, LLC",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER OF BALANCED BILLING SERVICES",
        "authorized_official_telephone_number": "458-215-1239",
        "authorized_official_credential": "MEDICAL BILLER"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Osborn, LCSW, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.