Provider Demographics
NPI:1558697383
Name:OSTER, KURT WILHELM (LBS, LICSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:KURT
Middle Name:WILHELM
Last Name:OSTER
Suffix:
Gender:M
Credentials:LBS, LICSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7511 LEROY DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-1626
Mailing Address - Country:US
Mailing Address - Phone:904-290-4601
Mailing Address - Fax:
Practice Address - Street 1:7511 LEROY DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-1626
Practice Address - Country:US
Practice Address - Phone:904-290-4601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2025-01-08
Deactivation Date:2018-09-27
Deactivation Code:
Reactivation Date:2020-08-24
Provider Licenses
StateLicense IDTaxonomies
PABH005716103K00000X
AL5380C1041C0700X
PACW0245681041C0700X
MN340361041C0700X
FLSW198801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst