Olivia Pinsley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R041584-1 Issued in NY

Legal business name

OLIVIA PINSLEY

Practice address

445 Northern Blvd
Suite 12
Great Neck, NY 11021-4804

Phone

(516) 642-1174

Fax

(516) 467-4267

NPI assigned

Apr 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olivia Pinsley, PH.D., LCSW-R

Title

Psychotherapist

Phone

(516) 642-1174

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1073636619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 NORTHERN BLVD",
            "address_2": "SUITE 12",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214804",
            "telephone_number": "516-642-1174",
            "fax_number": "516-467-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 NORTHERN BLVD",
            "address_2": "SUITE 12",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214804",
            "telephone_number": "516-642-1174",
            "fax_number": "516-467-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVIA PINSLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "PINSLEY",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "516-642-1174",
        "authorized_official_credential": "PH.D., LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R041584-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.