Provider Demographics
NPI:1982820536
Name:RODNEY-OSBOURNE, FELICIA P (MSW/LICSW)
Entity type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:P
Last Name:RODNEY-OSBOURNE
Suffix:
Gender:
Credentials:MSW/LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 WASHINGTON ST STE 202
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-2155
Mailing Address - Country:US
Mailing Address - Phone:781-552-3169
Mailing Address - Fax:774-568-3511
Practice Address - Street 1:111 WASHINGTON ST STE 202
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-2155
Practice Address - Country:US
Practice Address - Phone:781-552-3169
Practice Address - Fax:774-568-3511
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1303414Medicaid