Emily Shayna Ostrow, LCSW
Individual provider Active NPI Clinical Social Worker · Springvale, ME
NPI 1962819953 · NPPES record last updated Jul 22, 2014
Key facts
- NPI
- 1962819953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC14764 (ME)
- Practice address
- 469 Main St
Suite 202
Springvale, ME 04083-1870 - Phone
- (207) 490-6600
- Fax
- (207) 490-6603
- NPI assigned
- Jul 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220330002760 | ME | Practitioner - Clinical Social Worker | 5294121299 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116664 | MA | MD | Clinical Social Worker |
| LC14764 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweetser | Current |
Accepting new patients |
Locations
329 Bath Rd
Brunswick, ME 04011
Phone (207) 373-3012
50 Moody St
Saco, ME 04072
Phone (207) 284-5981
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC14764 | ME | Yes |
| Clinical Social Worker | 1041C0700X | 116664 | MA |
Addresses
Primary practice location
469 Main St
Suite 202
Springvale, ME 04083-1870
Mailing address
469 Main St
Suite 202
Springvale, ME 04083-1870
Phone (207) 490-6600
Other providers in Springvale, ME
- Lacey Kelley Murphy
- Nantucket Counseling
- Ayla Hope Nelson
- Arianna Nielsen
- Tonnie Olise
- Suzanne Karen Patterson
- Tracy Lynn Payeur
- Kelly A Perry
- Lorrie Ann Pettengill
- Suzanne Elizabeth Plano
All providers in Springvale, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.