Active NPI
Deanna Osborn, LCSW
- Clinical Social Worker
- Belen, NM
National Provider Identifier
1710157698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-8569
- Practice address
- 1300B E River Rd
Belen, NM 87002-7437 - Phone
- (505) 312-0042
- Fax
- (505) 213-0066
- NPI assigned
- Mar 6, 2008
- Last updated
- Oct 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-8569 | NM | Primary |
Addresses
Primary practice location
1300B E River Rd
Belen, NM 87002-7437
Mailing address
1135 Makian PL NW Apt 10
Albuquerque, NM 87120-1073
Phone (505) 514-2650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56184077 | Medicaid | NM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | deanna@heartsoulnm.com | Direct | Heart & Soul of NM, Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 E River Rd
Apt B
Belen, NM 87002-7426
Phone (505) 312-0040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Belen, NM
- NPI 1922504117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1710157698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 MAKIAN PL NW APT 10",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201073",
"telephone_number": "505-514-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300B E RIVER RD",
"city": "BELEN",
"state": "NM",
"postal_code": "870027437",
"telephone_number": "505-312-0042",
"fax_number": "505-213-0066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORN",
"first_name": "DEANNA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-06",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-8569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56184077",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "deanna@heartsoulnm.com",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "Heart & Soul of NM, Inc",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Employment",
"address_1": "1300B E River Rd",
"city": "Belen",
"state": "NM",
"country_code": "US",
"postal_code": "870027437",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Belen, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.