Provider Demographics
NPI:1730193194
Name:OSGOOD, DAVI E (LCSW)
Entity type:Individual
Prefix:MS
First Name:DAVI
Middle Name:E
Last Name:OSGOOD
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Gender:F
Credentials:LCSW
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Mailing Address - Street 1:239 GOLDEN HILL LN
Mailing Address - Street 2:ULSTER COUNTY MENTAL HEALTH DEPARTMENT
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-6441
Mailing Address - Country:US
Mailing Address - Phone:845-340-4163
Mailing Address - Fax:845-340-4094
Practice Address - Street 1:239 GOLDEN HILL LN
Practice Address - Street 2:ULSTER COUNTY MENTAL HEALTH DEPARTMENT
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-6441
Practice Address - Country:US
Practice Address - Phone:845-340-4163
Practice Address - Fax:845-340-4094
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2009-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0764051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY076405OtherNEW YORK STATE OFFICE OF THE PROFESSIONS