Provider Demographics
NPI:1578654315
Name:OSGOOD, CATHERINE (LCSW-R)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:OSGOOD
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:MS
Other - First Name:CATHY
Other - Middle Name:
Other - Last Name:OSGOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-R
Mailing Address - Street 1:846 OAK HILL AVE
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:NY
Mailing Address - Zip Code:13760-1728
Mailing Address - Country:US
Mailing Address - Phone:607-304-1647
Mailing Address - Fax:607-762-3298
Practice Address - Street 1:846 OAK HILL AVE
Practice Address - Street 2:
Practice Address - City:ENDICOTT
Practice Address - State:NY
Practice Address - Zip Code:13760-1728
Practice Address - Country:US
Practice Address - Phone:607-304-1647
Practice Address - Fax:607-762-3298
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0741951041C0700X
NYR074195-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical