Individual provider Active NPI

Christian Todd Osborn, LMSW

  • Clinical Social Worker
  • Clarkston, MI
National Provider Identifier
1629232798
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090542 Issued in MI
Practice address
7300 Dixie Hwy Ste 300
Clarkston, MI 48346-5102
Phone
(248) 707-6480
Fax
(248) 707-6481
NPI assigned
Jul 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2019

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 6801090542 MI Primary

Addresses

Primary practice location

7300 Dixie Hwy Ste 300
Clarkston, MI 48346-5102

Mailing address

7300 Dixie Hwy Ste 300
Clarkston, MI 48346-5102
Phone (248) 707-6480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101119000840 MI Practitioner - Clinical Social Worker 4981890670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling Centers of MichiganGroup PAC ID 5092002287, 2 clinicians

Practice addresses (Care Compare)

7300 Dixie Hwy
Suite 300
Clarkston, MI 48346-5102
Phone (248) 707-6480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801090542MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Centers of Michigan CurrentSince Aug 14, 2016 Accepting new patients
Consumer Services, Inc. Past Accepting new patients

Locations

6803 Dixie Hwy
Ste 2
Clarkston, MI 48346
Phone (248) 707-6480

7300 Dixie Hwy
Ste 300
Clarkston, MI 48346
Phone (248) 707-6480

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1629232798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 DIXIE HWY STE 300",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465102",
            "telephone_number": "248-707-6480",
            "fax_number": "248-707-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 DIXIE HWY STE 300",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465102",
            "telephone_number": "248-707-6480",
            "fax_number": "248-707-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "CHRISTIAN",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.