Individual provider Active NPI

Natalie Osoria, LCSW

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1861017121
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27044 Issued in MD
Practice address
845 Quince Orchard Blvd Ste F
Gaithersburg, MD 20878-1676
Phone
(301) 769-5878
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00317900 NJ
Clinical Social Worker 1041C0700X 44SC05913000 NJ
Clinical Social Worker 1041C0700X 27044 MD Primary

Addresses

Primary practice location

845 Quince Orchard Blvd Ste F
Gaithersburg, MD 20878-1676

Mailing address

PO Box 3016
South Hackensack, NJ 07606-1016
Phone (201) 488-6678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00317900NJMDAddiction (Substance Use Disorder) Counselor
27044MDMDClinical Social Worker
44SC05913000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindspace Mental Health Addiction (Substance Use Disorder) Current Accepting new patients
Washington Psychological Wellness LLC CurrentSince Mar 13, 2022 Accepting new patients
Specialized Therapy Associates PastSince Jun 1, 2020 Accepting new patients

Organizations & group practices 3

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": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1861017121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3016",
            "city": "SOUTH HACKENSACK",
            "state": "NJ",
            "postal_code": "076061016",
            "telephone_number": "201-488-6678",
            "fax_number": "201-342-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 QUINCE ORCHARD BLVD STE F",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781676",
            "telephone_number": "301-769-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSORIA",
        "first_name": "NATALIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00317900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05913000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.