Juan C Olmedo, LCSW is a
Social Worker - Clinical based in New York, New York. Juan C Olmedo is licensed to practice in New York (license number 080639) and his current practice location is
412 W 25th St Apt 1b, New York, New York. He can be reached at his office (for appointments etc.) via phone at
(646) 449-0491.
NPI number for Juan C Olmedo is 1013158914 and his current mailing address is 159 Madison Ave Apt 3i, New York, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013158914.
Healthcare Provider's Profile
Full Name | Juan C Olmedo |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 412 W 25th St Apt 1b, New York, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013158914
- Provider Enumeration Date: 03/23/2009
- Last Update Date: 04/30/2014
Medical Identifiers
Medical identifiers for Juan C Olmedo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013158914 | NPI | - | NPPES |
058306 | Other | NY | INTERNATIONAL BOARD FOR CERTIFICATION OF GROUP PSYCHOTHERAPISTS |
080639 | Other | NY | NYS OFFICE OF THE PROFESSIONS |
72078317 | Other | | NYS OFFICE OF THE PROFESSIONS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 72078317 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 080639 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Juan C Olmedo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Juan C Olmedo, LCSW 159 Madison Ave Apt 3i, New York, NY 10016-5434 Ph: (646) 696-7533 | Juan C Olmedo, LCSW 412 W 25th St Apt 1b, New York, NY 10001-6542 Ph: (646) 449-0491 |
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