Individual provider Active NPI

Deanna Osborn, LCSW

  • Clinical Social Worker
  • Belen, NM
National Provider Identifier
1710157698
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-8569 Issued in NM
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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 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

IdentifierTypeStateIssuer
56184077MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211019001058 NM Practitioner - Clinical Social Worker 5991193203 Reassigns benefits to 1 organization

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
Heart and Soul of NM, IncGroup PAC ID 4587052873, 19 clinicians

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.

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

Verify at the official NPI Registry.