Provider Demographics
NPI:1972216901
Name:OSMANSKI, MARIA LYNN (LCSW)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:LYNN
Last Name:OSMANSKI
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 1:1816 W WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-4413
Mailing Address - Country:US
Mailing Address - Phone:815-252-3464
Mailing Address - Fax:
Practice Address - Street 1:303 E WACKER DR
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-5212
Practice Address - Country:US
Practice Address - Phone:312-736-1776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0205231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical