Provider Demographics
NPI:1023246857
Name:OSHER, CAROL HAUSER (LCSW)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:HAUSER
Last Name:OSHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5355 HENRY HUDSON PKWY
Mailing Address - Street 2:1C
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-2830
Mailing Address - Country:US
Mailing Address - Phone:914-261-3380
Mailing Address - Fax:718-549-6140
Practice Address - Street 1:5355 HENRY HUDSON PKWY
Practice Address - Street 2:1C
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-2830
Practice Address - Country:US
Practice Address - Phone:914-261-3380
Practice Address - Fax:718-549-6140
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY73 0724031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical