Provider Demographics
NPI:1336362938
Name:MALINOWSKI, OSBORNE & ASSOCIATES
Entity Type:Organization
Organization Name:MALINOWSKI, OSBORNE & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:OSBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:CSW
Authorized Official - Phone:734-374-2108
Mailing Address - Street 1:21649 GODDARD RD
Mailing Address - Street 2:STE A100
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-4299
Mailing Address - Country:US
Mailing Address - Phone:734-374-2108
Mailing Address - Fax:734-374-2184
Practice Address - Street 1:21649 GODDARD RD
Practice Address - Street 2:STE A100
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-4299
Practice Address - Country:US
Practice Address - Phone:734-374-2108
Practice Address - Fax:734-374-2184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010661521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI8008955490Medicare UPIN