Provider Demographics
NPI:1033251616
Name:OSINSKI, STEPHEN GERARD (MSW, LMSW)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:GERARD
Last Name:OSINSKI
Suffix:
Gender:M
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1281 ALBANY ST
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-1649
Mailing Address - Country:US
Mailing Address - Phone:248-542-2067
Mailing Address - Fax:248-542-2067
Practice Address - Street 1:19701 VERNIER RD STE 160
Practice Address - Street 2:
Practice Address - City:HARPER WOODS
Practice Address - State:MI
Practice Address - Zip Code:48225-1422
Practice Address - Country:US
Practice Address - Phone:313-882-6802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801085193104100000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical