Individual provider · Type 1 NPI

Mary Ellen Osburn, LCSW

Clinical Social Worker · Kokomo, IN

NPI number 1699060913 Active

Practice location

416 Pillars Pl
Kokomo, IN 46902-3849

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400X87001519A (IN)
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700X34006478A (IN)

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 1699060913

Mary Ellen Osburn, LCSW's National Provider Identifier is 1699060913, issued on Jun 15, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kokomo, IN. The record was last updated on Aug 18, 2022.