Provider Demographics
NPI:1962557280
Name:ORNSTEIN, ALAN JEFFREY (LCSW)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:JEFFREY
Last Name:ORNSTEIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WRIGHT ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1704
Mailing Address - Country:US
Mailing Address - Phone:617-491-2030
Mailing Address - Fax:617-491-1117
Practice Address - Street 1:8 WRIGHT ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1704
Practice Address - Country:US
Practice Address - Phone:617-491-2030
Practice Address - Fax:617-491-1117
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA201833101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA201833OtherSOCIAL WORK