Provider Demographics
NPI:1134325582
Name:OSTERGREN, ELLEN (LCSW)
Entity type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:
Last Name:OSTERGREN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ELLEN
Other - Middle Name:LEIGH
Other - Last Name:HOLBROOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1609 SAN ANTONIO AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-4040
Mailing Address - Country:US
Mailing Address - Phone:352-222-5005
Mailing Address - Fax:
Practice Address - Street 1:1609 SAN ANTONIO AVE
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-4040
Practice Address - Country:US
Practice Address - Phone:352-222-5005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker