Provider Demographics
NPI:1265937908
Name:OSMOND, JOANNA LEIGH (LCSW)
Entity type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:LEIGH
Last Name:OSMOND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 VALLE MEADOWS TRL
Mailing Address - Street 2:
Mailing Address - City:SUGAR GROVE
Mailing Address - State:NC
Mailing Address - Zip Code:28679-9762
Mailing Address - Country:US
Mailing Address - Phone:828-963-0325
Mailing Address - Fax:
Practice Address - Street 1:308 VALLE MEADOWS TRL
Practice Address - Street 2:
Practice Address - City:SUGAR GROVE
Practice Address - State:NC
Practice Address - Zip Code:28679-9762
Practice Address - Country:US
Practice Address - Phone:828-963-0325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0037971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical