Active NPI
Michael Oster, L.I.C.S.W.
- Clinical Social Worker
- Methuen, MA
National Provider Identifier
1467419176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1032761
- Practice address
- 184 Pleasant Valley St
Suite 204a (Mailbox #16)
Methuen, MA 01844-5817 - Phone
- (978) 474-0675
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1032761 | MA | Primary |
Addresses
Primary practice location
184 Pleasant Valley St
Suite 204a (Mailbox #16)
Methuen, MA 01844-5817
Mailing address
24 Dufton Rd
Andover, MA 01810-2716
Phone (978) 474-0675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30423151 | Medicaid | NH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1032761 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1467419176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 DUFTON RD",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018102716",
"telephone_number": "978-474-0675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 PLEASANT VALLEY ST",
"address_2": "SUITE 204A (MAILBOX #16)",
"city": "METHUEN",
"state": "MA",
"postal_code": "018445817",
"telephone_number": "978-474-0675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTER",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "L.I.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1032761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30423151",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.