Individual provider Active NPI

Shanakay N Osbourne, MSW, LCSW

  • Clinical Social Worker
  • Altamonte Springs, FL
National Provider Identifier
1861076259
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25290 Issued in FL
Practice address
1070 Montgomery Rd Unit 513
Altamonte Springs, FL 32714-7420
Phone
(813) 690-5092
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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 25290 FL Primary

Addresses

Primary practice location

1070 Montgomery Rd Unit 513
Altamonte Springs, FL 32714-7420

Mailing address

1070 Montgomery Rd Unit 513
Altamonte Springs, FL 32714-7420
Phone (813) 690-5092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2885 W Battlefield St
Springfield, MO 65807-3952

PO Box
Kansas City, MO 64184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25290FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kairovia Mental Health LLC Clinical Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1861076259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 MONTGOMERY RD UNIT 513",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147420",
            "telephone_number": "813-690-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 MONTGOMERY RD UNIT 513",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147420",
            "telephone_number": "813-690-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBOURNE",
        "first_name": "SHANAKAY",
        "middle_name": "N",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "25290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.