Provider Demographics
NPI:1740866466
Name:OSTHEIMER, ERIN ROSALIE (LCSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:ROSALIE
Last Name:OSTHEIMER
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 1:60 ACADEMY RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3103
Mailing Address - Country:US
Mailing Address - Phone:518-830-0666
Mailing Address - Fax:518-599-5959
Practice Address - Street 1:58 ACADEMY ROAD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-1220
Practice Address - Country:US
Practice Address - Phone:518-830-0666
Practice Address - Fax:518-599-5959
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111326104100000X
NY0982191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker