Individual provider · Type 1 NPI

Lacy Osborne, LICSW

Clinical Social Worker · Mankato, MN

NPI number 1003211400 Active

Practice location

151 Saint Andrews Ct Ste 200
Mankato, MN 56001-8810

Fax (507) 607-8845

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20219 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003211400

Lacy Osborne, LICSW's National Provider Identifier is 1003211400, issued on Oct 28, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mankato, MN. The record was last updated on May 4, 2026.