Active NPIIndividual providerSole proprietor

Mrs. Olivia M Divirgilio, LICSW

Social Worker, Clinical in Tewksbury, Massachusetts

NPI Number1790328169
Practice location
1 Highwood Dr Ste 300, Tewksbury, MA 01876-1156
Fax
—
Last updated
August 22, 2022

Olivia Mary Divirgilio is a Social Worker, Clinical based in Tewksbury, MA. Olivia Mary Divirgilio practices in Tewksbury, MA and has the professional credentials of LICSW. The NPI Number for Olivia Mary Divirgilio is 1790328169 and holds a License No. 124931 (MA). The current practice location address for Olivia Mary Divirgilio is 1 Highwood Dr Ste 300, Tewksbury, MA 01876-1156 and can be reached out via phone at 978-243-0405.

Provider Profile Details

NPI Number
1790328169
Provider Name
Olivia Mary Divirgilio
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
1 Highwood Dr Ste 300, Tewksbury, MA 01876-1156
Phone Number
978-243-0405
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 17, 2019
Last Update Date
August 22, 2022
Certification Date
August 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Highwood Dr Ste 300
Tewksbury, MA 01876-1156
Zip
01876-1156
Phone Number
978-243-0405
Tewksbury, MA 01876Get directions →

Provider Business Mailing Address Details

Address
14 Clark RD
Andover, MA 01810-5643
City
Andover
State
MA
Zip
01810-5643
Phone Number
978-551-1567

License Information

License Number
124931
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Olivia M Divirgilio, LICSW?

The NPI number of Mrs. Olivia M Divirgilio, LICSW is 1790328169. It was assigned on October 17, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Olivia M Divirgilio, LICSW?

Mrs. Olivia M Divirgilio, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 124931.

Where does Mrs. Olivia M Divirgilio, LICSW practice?

The practice location is 1 Highwood Dr Ste 300, Tewksbury, MA 01876-1156. The office can be reached at 978-243-0405 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790328169 directly on the NPPES registry website.

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