Osiris Cespedes
Individual provider Active NPI Community Health Worker · Worcester, MA
NPI 1922409911 · NPPES record last updated Sep 17, 2020
Key facts
- NPI
- 1922409911
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 11 Sycamore St
Worcester, MA 01608-2213 - Phone
- (508) 798-1900
- NPI assigned
- Sep 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community Health Worker | 172V00000X | MA | Yes |
Addresses
Primary practice location
11 Sycamore St
Worcester, MA 01608-2213
Mailing address
21 Woodland St
Worcester, MA 01610-2425
Phone (508) 335-9029
Other providers in Worcester, MA
- Shaylin Cersosimo
- Anthony Cerundolo
- Brianna M Cerutti
- Thomas Michael Cervantes
- Natalie Elizabeth Cespedes
- Victoria Cestodio
- Laura Kathleen Cevik
- Elliot Cha
- Leanne L Chabior
- Kelsey T. Chabot
All providers in Worcester, MA · Community Health Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.