Osato Egonmwan Idubor, LICSW
Social Worker, Clinical in Saugus, Massachusetts
1225661424- Practice location
- 1268 Broadway, Saugus, MA 01906-4709
- Phone
- 301-337-7298
- Fax
- —
- Last updated
- March 3, 2025
Osato Egonmwan Idubor is a Social Worker, Clinical based in Saugus, MA. Osato Egonmwan Idubor practices in Saugus, MA and has the professional credentials of LICSW. The NPI Number for Osato Egonmwan Idubor is 1225661424 and holds a License No. LICSW124558 (MA). The current practice location address for Osato Egonmwan Idubor is 1268 Broadway, Saugus, MA 01906-4709 and can be reached out via phone at 301-337-7298.
Provider Profile Details
- NPI Number
- 1225661424
- Provider Name
- Osato Egonmwan Idubor
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1268 Broadway, Saugus, MA 01906-4709
- Phone Number
- 301-337-7298
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 16, 2020
- Last Update Date
- March 3, 2025
- Certification Date
- March 3, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1268 Broadway
Saugus, MA 01906-4709 - City
- Saugus
- State
- Massachusetts
- Zip
- 01906-4709
- Phone Number
- 301-337-7298
Provider Business Mailing Address Details
- Address
- 610 Main St Apt 415
Laurel, MD 20707-4051 - City
- Laurel
- State
- MD
- Zip
- 20707-4051
- Phone Number
- 178-163-2839
License Information
- License Number (1)
- LICSW124558
- License State (1)
- MA
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 0904015894
- License State (2)
- VA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- License Number (3)
- LC200002541
- License State (3)
- DC
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Saugus, MA
View all Social Worker, Clinical providers in Saugus →- Alexandria F Preval, MSW, LICSWSocial Worker, Clinical · NPI 1609217504
- Amy Stomieroski, LICSWSocial Worker, Clinical · NPI 1972094506
- Annaellen Lenart, LICSWSocial Worker, Clinical · NPI 1487135299
- Daryl VoSocial Worker, Clinical · NPI 1891407375
- Dontie Wilkinson, LICSWSocial Worker, Clinical · NPI 1417277344
- Elizabeth A Hardy, LICSWSocial Worker, Clinical · NPI 1831307164
Frequently Asked Questions
What is the NPI number of Osato Egonmwan Idubor, LICSW?
The NPI number of Osato Egonmwan Idubor, LICSW is 1225661424. It was assigned on February 16, 2020 and is currently active in the NPPES registry.
What is the specialty of Osato Egonmwan Idubor, LICSW?
Osato Egonmwan Idubor, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW124558.
Where does Osato Egonmwan Idubor, LICSW practice?
The practice location is 1268 Broadway, Saugus, MA 01906-4709. The office can be reached at 301-337-7298 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225661424 directly on the NPPES registry website.