Healthcare Provider Details

I. General information

NPI: 1013828193
Provider Name (Legal Business Name): KATHRYN OSTERHOLTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 DWIGHT RD STE 203
LONGMEADOW MA
01106-1768
US

IV. Provider business mailing address

65 FIRGLADE AVE # 2
SPRINGFIELD MA
01108-2503
US

V. Phone/Fax

Practice location:
  • Phone: 413-200-8024
  • Fax:
Mailing address:
  • Phone: 603-689-3264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCSW2143641
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: