Individual provider Active NPI

Kathleen Kelliher-Ostrowski, LICSW

  • Clinical Social Worker
  • Gloucester, MA
National Provider Identifier
1649212499
Registry record updated May 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
114 Main St
Gloucester, MA 01930-5706
Phone
(978) 223-3129
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

114 Main St
Gloucester, MA 01930-5706

Mailing address

114 Main St
Gloucester, MA 01930-5706
Phone (978) 223-3129

Other names 1

  • Kathleen Kelliher Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407000575 MA Practitioner - Clinical Social Worker 6800889536 Practice locations: Gloucester, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

114 Main St
Gloucester, MA 01930-5706
Phone (978) 223-3129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338163200000",
    "number": "1649212499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MAIN ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019305706",
            "telephone_number": "978-223-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MAIN ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019305706",
            "telephone_number": "978-223-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLIHER-OSTROWSKI",
        "first_name": "KATHLEEN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "KELLIHER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gloucester, MA

Sources for this page

Verify at the official NPI Registry.