Susan L Osborne, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7569 Issued in FL

Legal business name

SUSAN L OSBORNE, LCSW

Practice address

4631 NW 53Rd Ave
Suite 104
Gainesville, FL 32653-3402

Phone

(352) 371-1411

NPI assigned

Dec 16, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Susan Osborne

Title

Owner

Phone

(352) 371-1411

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1679017297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 NW 53RD AVE",
            "address_2": "SUITE 104",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326533402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 NW 53RD AVE",
            "address_2": "SUITE 104",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326533402",
            "telephone_number": "352-371-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN L OSBORNE, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-371-1411",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgical Group of Gainesville PA
• Amreek Suri, DMD
• Yash Suri
• Megan Surufka
• Susan Bocock Ryals
• Aleksandra Maria Suslov, LCSW
• Kunal Kirit Sutaria, MD
• Selina Shareen Sutchu, M.D.
• Ashley Sutherland
• Jessica Patricia Sutly, PHARM D

• Clinical Social Worker in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.