Edward James Ostolski, JD, LICSW, CSAT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1023139 Issued in MA

Practice address

900 Cummings Ctr
Beverly, MA 01915-6198

Phone

(978) 760-0185

NPI assigned

Jul 30, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor

State licenses

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1245461854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1259",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019508259",
            "telephone_number": "978-760-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156198",
            "telephone_number": "978-760-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTOLSKI",
        "first_name": "EDWARD",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "JD, LICSW, CSAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1023139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Osborne
• Ashley Osborne
• Mary Patricia Osborne, PA-C
• Janice Elaine Oskar, NURSE PRACTIONER/B.C
• Maren E Oslund, LLCSW
• Lawrence J Otoole, MSW, LICSW
• Bethany Grace Avila Otte, FNP-C
• Emily Ottinger
• Courtney Sarah Ouellette
• Erica Owen, FNP-BC

• Clinical Social Worker in Beverly, MA
• Providers in Beverly, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.