Provider Demographics
NPI:1841841103
Name:ROBERTS-OSBORNE, KIRSTEN (LCSW)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:ROBERTS-OSBORNE
Suffix:
Gender:
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:PO BOX 52163
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82605-2163
Mailing Address - Country:US
Mailing Address - Phone:307-337-8416
Mailing Address - Fax:
Practice Address - Street 1:701 ANTLER DR STE 208
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-1749
Practice Address - Country:US
Practice Address - Phone:307-215-8994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-26
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLCSW-13391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical