Active NPI
Olivia De Luca, LCSW
- Clinical Social Worker
- Danbury, CT
National Provider Identifier
1124460431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8911
- Practice address
- 72 West St
Danbury Clinicial Services
Danbury, CT 06810 - Phone
- (203) 797-9778
- Fax
- (203) 797-9858
- NPI assigned
- Jul 28, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 8911 | CT | Primary |
Addresses
Primary practice location
72 West St
Danbury Clinicial Services
Danbury, CT 06810
Mailing address
141 E Main St
4TH Floor Administration
Waterbury, CT 06702-2310
Phone (203) 574-9000
Other practice location 1
984 Southford Rd
Middlebury, CT 06762-3234
Phone (203) 758-2400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13518615 | Other | CT | CAQH |
| 1124460431 | Medicaid | CT |
Other names 1
- Olivia Schulze
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 |
|---|---|---|---|
| 8911 | CT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Center for Counseling & Learning, LLC | Past | Accepting new patients | |
| Compassionate Care Counseling LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Middlebury, CT
- NPI 1578788766
-
- Professional Counselor
- Middlebury, CT
- NPI 1932757515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1124460431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E MAIN ST",
"address_2": "4TH FLOOR ADMINISTRATION",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022310",
"telephone_number": "203-574-9000",
"fax_number": "203-574-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 WEST ST",
"address_2": "DANBURY CLINICIAL SERVICES",
"city": "DANBURY",
"state": "CT",
"postal_code": "06810",
"telephone_number": "203-797-9778",
"fax_number": "203-797-9858"
}
],
"practiceLocations": [
{
"address_1": "984 Southford Rd",
"address_purpose": "LOCATION",
"city": "Middlebury",
"state": "CT",
"postal_code": "067623234",
"country_code": "US",
"telephone_number": "203-758-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LUCA",
"first_name": "OLIVIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-28",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "8911",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13518615",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124460431",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "OLIVIA",
"last_name": "SCHULZE",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.