=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104705532
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CAMI ALANA OSGARD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/29/2025
-----------------------------------------------------
Last Update Date | 09/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1515 S CAPITAL OF TEXAS HWY STE 300&301
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78746-6579
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-895-0098
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2401 MUIRFIELD CIR
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78747-1223
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 209-761-3084
-----------------------------------------------------
Fax | 209-761-3084
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 113837
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------