Camilla K Ostrow

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122502 Issued in MA

Practice address

112 Southampton St
Boston, MA 02118-2711

Phone

(617) 534-6126

Fax

(857) 288-2240

NPI assigned

Feb 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Cam Ostrow, Licsw, LLC

  • Community/Behavioral Health Agency
  • Boston, MA
  • NPI 1336733484
  NPD Authorized official

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1467918920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MASSACHUSETTS AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182600",
            "telephone_number": "617-534-3134",
            "fax_number": "857-288-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SOUTHAMPTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182711",
            "telephone_number": "617-534-6126",
            "fax_number": "857-288-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTROW",
        "first_name": "CAMILLA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "223057",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas R Ostrander, M.D.
• Bridget Lamonica Ostrem, M.D., PH.D.
• Jonathan Ostrem, M.D., PH.D.
• Nicole Jean Ostrikis, PA-C
• John Ostrominski
• Peter Adam Ostrow, MD
• Valerie G Ostrower, M.D.
• Chidinma Osuagwu, MD
• Samantha Osunde
• Love Wuraola Osunnuga

• Clinical Social Worker in Boston, MA
• Providers in Boston, 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 Jan 23, 2020; 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.