Provider Demographics
NPI:1265913412
Name:OSTROFF, KATHERINE HARRISON (MSW)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:HARRISON
Last Name:OSTROFF
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 COMMONWEALTH CIR
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-2562
Mailing Address - Country:US
Mailing Address - Phone:978-466-9910
Mailing Address - Fax:
Practice Address - Street 1:305 REDEMPTION ROCK TRL S
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:MA
Practice Address - Zip Code:01541-1211
Practice Address - Country:US
Practice Address - Phone:978-563-1516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-26
Last Update Date:2018-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA105974104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker