Active NPI
Olena Dart
- Clinical Social Worker
- Audubon, PA
National Provider Identifier
1073231874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW022143
- Practice address
- 2781 Egypt Rd
Audubon, PA 19403-2254 - Phone
- (610) 930-8860
- NPI assigned
- Aug 17, 2022
- Last updated
- Aug 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW022143 | PA | Primary |
Addresses
Primary practice location
2781 Egypt Rd
Audubon, PA 19403-2254
Mailing address
2781 Egypt Rd
Audubon, PA 19403-2254
Phone (610) 930-8860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW022143 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uplift Behavioral Health PC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1073231874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2781 EGYPT RD",
"city": "AUDUBON",
"state": "PA",
"postal_code": "194032254",
"telephone_number": "610-930-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2781 EGYPT RD",
"city": "AUDUBON",
"state": "PA",
"postal_code": "194032254",
"telephone_number": "610-930-8860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DART",
"first_name": "OLENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-17",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW022143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Audubon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.