Individual provider Active NPI

Lauren Tison Osborne, LCSW

  • Clinical Social Worker
  • Athens, GA
National Provider Identifier
1932666971
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW006704 Issued in GA
Practice address
1435 Oglethorpe Ave
Athens, GA 30606-2135
Phone
(706) 549-7755
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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 CSW006704 GA Primary

Addresses

Primary practice location

1435 Oglethorpe Ave
Athens, GA 30606-2135

Mailing address

1435 Oglethorpe Ave
Athens, GA 30606-2135
Phone (706) 549-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240723003343 GA Practitioner - Clinical Social Worker 5395281612 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW006704GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Service of Athens Inc CurrentSince Jul 10, 2024 Accepting new patients

Locations

1435 Oglethorpe Ave
Athens, GA 30606
Phone (706) 549-7755

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": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1932666971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 OGLETHORPE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062135",
            "telephone_number": "706-549-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 OGLETHORPE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062135",
            "telephone_number": "706-549-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "LAUREN",
        "middle_name": "TISON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.