Kathleen M Ostertag, L.S.W.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW008549L Issued in PA

Practice address

8001 Roosevelt Blvd
205-207
Philadelphia, PA 19152-3038

Phone

(215) 332-1914

Fax

(215) 332-1873

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wives Self Help Foundation, Inc

  • Marriage & Family Therapist
  • Philadelphia, PA
  • NPI 1518056159

  Mental Health

  NPD (past)
• Wives Self Help Foundation, Inc

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1588766836
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053411223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 SHARP ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191271816",
            "telephone_number": "215-332-1914",
            "fax_number": "215-332-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 ROOSEVELT BLVD",
            "address_2": "205-207",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523038",
            "telephone_number": "215-332-1914",
            "fax_number": "215-332-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERTAG",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "L.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW008549L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN ID",
            "identifier": "0551435000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "7694374",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalya Ostapyuk
• Georgia Grace Osteen, DNP CRNP
• Kevin C Osterhoudt, M.D.
• Caitlin Marie Osterhout, MSW, LCSW, LICSW
• Mark T Osterman, MD
• Steven Ostroff
• David Ostrow, R.PH.
• Lyle W Ostrow, M.D., PH.D.
• David Anthony Ostrowski
• Suzanne Cleary Ostrowski, CRNP

• Mental Health Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.