Provider Demographics
NPI:1629840889
Name:OSENAR, AMY CATHERINE (MED, MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:CATHERINE
Last Name:OSENAR
Suffix:
Gender:F
Credentials:MED, MSW, LCSW
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:C
Other - Last Name:BOWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1057 BURROUGHS RD
Mailing Address - Street 2:
Mailing Address - City:BOXBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01719-1809
Mailing Address - Country:US
Mailing Address - Phone:978-761-2774
Mailing Address - Fax:
Practice Address - Street 1:257 AYER RD
Practice Address - Street 2:
Practice Address - City:HARVARD
Practice Address - State:MA
Practice Address - Zip Code:01451-1176
Practice Address - Country:US
Practice Address - Phone:978-772-1846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA229981104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker