Misty Dawn Ogsaen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

74061 Issued in CA

Practice address

2917 Aquamarine Cir
Rescue, CA 95672-9338

Phone

(916) 304-5804

NPI assigned

May 7, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1649615311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 AQUAMARINE CIR",
            "city": "RESCUE",
            "state": "CA",
            "postal_code": "956729338",
            "telephone_number": "916-304-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 AQUAMARINE CIR",
            "city": "RESCUE",
            "state": "CA",
            "postal_code": "956729338",
            "telephone_number": "916-304-5804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Ramona Ave",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "CA",
            "postal_code": "919774349",
            "country_code": "US",
            "telephone_number": "916-469-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGSAEN",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "74061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zahra Mohabbat
• Shane Austin Mulzet, SLP-CF
• Kelly Marie Musial, COTA
• Peter Ngo, OT
• Sarah S. Nord, MS, OTR/L
• Eileen M Olmstead, RD
• Kristina Pickering, COTA/L
• Tom John Power
• Deirdre Price, COTA/L
• Casey Primeau, OTD, OTR/L

• Clinical Social Worker in Rescue, CA
• Providers in Rescue, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.