John Connell Osborne, LCSW
Social Worker, Clinical in Walnut Creek, CA. Individual provider (NPI-1).
NPI number1154500908
StatusActive
Last updated in NPPESOct 29, 2007
Details
- NPI
- 1154500908
- Entity type
- Individual (NPI-1)
- Name
- John Connell Osborne
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 29, 2007
- Last updated
- Oct 29, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- Medicare opt-out
- Sep 4, 2025 to Sep 4, 2027
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS 8782 | CA | Yes |
Practice location
1280 Boulevard WaySuite 212
Walnut Creek, CA 94595-1125
Phone 925-932-0173
Mailing address
1280 Boulevard WaySuite 212
Walnut Creek, CA 94595-1125
Phone 925-932-0173
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 130 Clinical Social Worker providers in Walnut Creek · All 7,144 providers in Walnut Creek
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