Provider Demographics
NPI:1578725198
Name:OSTAFY, MICHELE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:
Last Name:OSTAFY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 PHILADELPHIA PIKE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-2154
Mailing Address - Country:US
Mailing Address - Phone:302-762-8989
Mailing Address - Fax:302-762-8986
Practice Address - Street 1:507 PHILADELPHIA PIKE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809-2154
Practice Address - Country:US
Practice Address - Phone:302-762-8989
Practice Address - Fax:302-762-8986
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00004331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical