Keli Osborn, MSW, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-5614T Issued in AZ

Practice address

2060 W 24TH St
Yuma, AZ 85364-6123

Phone

(928) 819-8819

NPI assigned

Nov 3, 2015

Last updated

Nov 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Keli Peterson Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunset Community Health Center IncGroup PAC ID 4587569843, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keli.osborn.p1@direct.sunset.nextgenshare.com

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.

• Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Somerton, AZ
  • NPI 1962507376
  Medicare reassignment Care Compare group NPD
• Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Yuma, AZ
  • NPI 1366812166
  NPD
• Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Yuma, AZ
  • NPI 1780401380
  NPD

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1952774754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646123",
            "telephone_number": "928-819-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "KELI",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-5614T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELI",
            "last_name": "PETERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Orthodontics of Yuma, P.C,
• Daniel R Ortiz, PA-C
• Lisbeth Ortiz
• Maria D Ortiz, RN
• Sirius Luis Ortiz
• Olayinka Olayemi Osinloye, NP
• Khidir A Osman, M.D.
• Azeberoje Osueni
• Gold Ivie Oseluese Osueni, MD
• Christal L Ott, FNP

• Social Worker in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.