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

Osato Egonmwan Idubor, LICSW

Individual provider Clinical Social Worker · NPI 1225661424

Osato Egonmwan Idubor, LICSW is a Clinical Social Worker in Saugus, Massachusetts. Qualified in 2019, 7 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in District of Columbia, Massachusetts and Virginia.

Years since qualifying
7
Licensed in
DC, MA, VA
In the registry since
2020
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

1268 Broadway
Saugus, MA 01906-4709
Phone: (301) 337-7298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4315 50th St Nw Ste 100, Washington, DC 20016-4369 — (301) 337-7298

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC200002541 (DC)
Clinical Social Worker Taxonomy 1041C0700X · Licence LICSW124558 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904015894 (VA)

Record details

NPI number1225661424
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 16, 2020
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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