=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154678480
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HEBA OSMAN LMSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/06/2012
-----------------------------------------------------
Last Update Date | 09/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1700 W BIG BEAVER RD STE 260
-----------------------------------------------------
City | TROY
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48084-3516
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-301-2925
-----------------------------------------------------
Fax | 248-457-5541
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1700 W BIG BEAVER RD STE 260
-----------------------------------------------------
City | TROY
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48084-3516
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-301-2925
-----------------------------------------------------
Fax | 248-457-5541
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 6801094312
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 6801094312
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------