| Eileen M Osgood, Lcsw, Llc | |
|
129 W Virginia Beach Blvd # 204b Norfolk VA 23510-2030 | |
| (757) 514-1439 | |
| (757) 622-4033 |
| Full Name | Eileen M Osgood, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 129 W Virginia Beach Blvd # 204b, Norfolk, Virginia |
| Authorized Official Name and Position | Eileen M Osgood (OWNER) |
| Authorized Official Contact | 7575141439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eileen M Osgood, Lcsw, Llc 316 S Botetourt Ct Norfolk VA 23507-1859 Ph: (757) 630-2033 | Eileen M Osgood, Lcsw, Llc 129 W Virginia Beach Blvd # 204b Norfolk VA 23510-2030 Ph: (757) 514-1439 |
| NPI Number | 1538807821 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 05/25/2022 |
| Certification Date | 05/25/2022 |
| Medicare PECOS PAC ID | 5799167094 |
|---|---|
| Medicare Enrollment ID | O20220803002001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538807821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Eileen Marie Osgood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215016464 PECOS PAC ID: 2961422654 Enrollment ID: I20051123000543 |
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