Provider Demographics
NPI:1609807791
Name:OSTROW, DANIEL R (MSW)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:R
Last Name:OSTROW
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 TEXAS ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-2931
Mailing Address - Country:US
Mailing Address - Phone:415-641-6215
Mailing Address - Fax:415-641-6215
Practice Address - Street 1:336 TEXAS ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-2931
Practice Address - Country:US
Practice Address - Phone:415-641-6215
Practice Address - Fax:415-641-6215
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS113961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical