Physician Compare National (NPI:1891886396)

HEALTHCARE PROVIDER: LARA BETH OSTERGAARD MSW, LCSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1891886396
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416987409
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050818001082
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OSTERGAARD
	Individual professional last name
Provider First Name	LARA
	Individual professional first name
Provider Middle Name	BETH
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	CSW
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1999
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	140 W 79TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	APT 1E
	Group Practice or individual's line 2 address
City	NEW YORK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	100246424
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2123623177
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y