Provider Demographics
NPI:1881171478
Name:OSTASHEN, ALLISON (LICSW)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:OSTASHEN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 PILGRIM ST
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02351-2217
Mailing Address - Country:US
Mailing Address - Phone:617-529-0420
Mailing Address - Fax:
Practice Address - Street 1:55 PILGRIM ST
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:MA
Practice Address - Zip Code:02351-2217
Practice Address - Country:US
Practice Address - Phone:617-529-0420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1206591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical