Provider Demographics
NPI:1275696551
Name:OSTROWSKI, NANCY ELLEN (LICSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ELLEN
Last Name:OSTROWSKI
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 WORCESTER STREET, SUITE G
Mailing Address - Street 2:
Mailing Address - City:N. GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01536
Mailing Address - Country:US
Mailing Address - Phone:978-216-3444
Mailing Address - Fax:617-807-0958
Practice Address - Street 1:210 WORCESTER STREET, SUITE G
Practice Address - Street 2:
Practice Address - City:N. GRAFTON
Practice Address - State:MA
Practice Address - Zip Code:01536
Practice Address - Country:US
Practice Address - Phone:978-216-3444
Practice Address - Fax:617-326-3778
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12252104100000X
MA1174971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker