| Oliver Lcsw Pllc | |
|
557 W 148th St Ste 3e New York NY 10031-3704 | |
| (917) 623-7778 | |
| Not Available |
| Full Name | Oliver Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 557 W 148th St, New York, New York |
| Authorized Official Name and Position | Lawrence Olwyn (SOLE MBR) |
| Authorized Official Contact | 9176237778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oliver Lcsw Pllc 557 W 148th St Ste 3e New York NY 10031-3704 Ph: (917) 623-7778 | Oliver Lcsw Pllc 557 W 148th St Ste 3e New York NY 10031-3704 Ph: (917) 623-7778 |
| NPI Number | 1225490584 |
|---|---|
| Provider Enumeration Date | 03/25/2016 |
| Last Update Date | 03/25/2016 |
| Medicare PECOS PAC ID | 9739565342 |
|---|---|
| Medicare Enrollment ID | O20221005002830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225490584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 081165 (New York) | Primary |
| Provider Name | Oliver L Olwyn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922442573 PECOS PAC ID: 5991189235 Enrollment ID: I20220906000179 |
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