Provider Demographics
NPI:1235486622
Name:OSER, LAURIE G (MSW LISW)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:G
Last Name:OSER
Suffix:
Gender:F
Credentials:MSW LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1885 EDGEMONT RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-1046
Mailing Address - Country:US
Mailing Address - Phone:614-486-9767
Mailing Address - Fax:
Practice Address - Street 1:1885 EDGEMONT RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-1046
Practice Address - Country:US
Practice Address - Phone:614-486-9767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI2851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical