Thomas J Olivo, LCSW | |
11 Route 111, Smithtown, NY 11787-3739 | |
(631) 920-8300 | |
Not Available |
Full Name | Thomas J Olivo |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 11 Route 111, Smithtown, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255778213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 087847 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 087679 (New York) | Primary |
Entity Name | Outreach Development Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083717326 PECOS PAC ID: 1355323270 Enrollment ID: O20040603001529 |
Mailing Address | Practice Location Address |
---|---|
Thomas J Olivo, LCSW Po Box 532, Coram, NY 11727-0532 Ph: (631) 942-1706 | Thomas J Olivo, LCSW 11 Route 111, Smithtown, NY 11787-3739 Ph: (631) 920-8300 |
Mr. John Lebrun, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1w Main St 203, Smithtown, NY 11787 Phone: 631-656-8555 Fax: 631-656-8553 | |
Mr. Richard Allen Bennett, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 45 Wildwood Ln, Smithtown, NY 11787 Phone: 631-724-3145 Fax: 631-724-5044 | |
Alanna D. Regan, L.C.S.W.-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 267 E Main St, Bldg. B-23, Smithtown, NY 11787 Phone: 516-652-4487 Fax: 631-751-5132 | |
Mr. Ronald Pollock, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5 Dorchester Rd, Smithtown, NY 11787 Phone: 631-360-1414 Fax: 631-360-1414 | |
Ms. Cynthia Prince, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 267 E Main St, Smithtown, NY 11787 Phone: 516-984-7544 | |
Laurel Hoffman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 Wesleyan Rd, Smithtown, NY 11787 Phone: 631-384-9080 | |
Gayle Mccarthy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Route 111, Smithtown, NY 11787 Phone: 631-920-8300 |