Individual provider Active NPI

Michelle Lynn Ostroski, EDD, LSW

  • Social Worker
  • Tunkhannock, PA
National Provider Identifier
1285322925
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW135810 Issued in PA
Practice address
505 Hunter Hwy Ste 2
Tunkhannock, PA 18657-8064
Phone
(570) 575-2468
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW135810 PA Primary

Addresses

Primary practice location

505 Hunter Hwy Ste 2
Tunkhannock, PA 18657-8064

Mailing address

1700 Hunter Hwy
Tunkhannock, PA 18657-7981
Phone (570) 574-4792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW135810PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amy M Clark LCSW & Associates LLC CurrentSince May 7, 2023 Accepting new patients
Change of Heart Counseling and Consultation Services, Inc CurrentSince May 7, 2023 Accepting new patients

Locations

505 Hunter Hwy
Ste 2
Tunkhannock, PA 18657
Phone (570) 575-2468

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1285322925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HUNTER HWY",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186577981",
            "telephone_number": "570-574-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 HUNTER HWY STE 2",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186578064",
            "telephone_number": "570-575-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTROSKI",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "EDD, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tunkhannock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.