MEDICARE: CLAIRE BOSTROM LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	127898	NY

General Provider Information

NPI Number	:	1306737937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE BOSTROM LMSW

Provider Business Mailing Address
First Line	:	498 PUTNAM AVE APT 1L
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-5715
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	36 WAVERLY AVE STE 303
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-1236
Country	:	US
Telephone Number	:	917-539-7889
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2025
Last Update Date	:	07/11/2025

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Directions to “ CLAIRE BOSTROM LMSW” Practice Location

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