Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Douglas Osborne, LCSW

Individual provider Clinical Social Worker · NPI 1538225768

Blake Douglas Osborne, LCSW is a Clinical Social Worker in Skokie, Illinois. Qualified in 1994, 32 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
32
Licensed in
IL
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5225 Old Orchard Rd Ste 29
Skokie, IL 60077-4405
Phone: (847) 966-8806
Fax: (847) 475-1245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (IL)

Record details

NPI number1538225768
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 30, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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