Provider Demographics
NPI:1972146330
Name:OSIECKI, JOSEPH FRANK (LICSW)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:FRANK
Last Name:OSIECKI
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11814 WAYLAND ST
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-2228
Mailing Address - Country:US
Mailing Address - Phone:703-855-9254
Mailing Address - Fax:
Practice Address - Street 1:11814 WAYLAND ST
Practice Address - Street 2:
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124-2228
Practice Address - Country:US
Practice Address - Phone:703-855-9254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500806501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical