Active NPI
Annie Amanda Olivieri, LSW
- Social Worker
- Florham Park, NJ
National Provider Identifier
1124511449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06020100
- Practice address
- 123 Columbia Tpke Ste 201a
Florham Park, NJ 07932-2192 - Phone
- (862) 485-0328
- NPI assigned
- Jun 11, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06020100 | NJ | Primary |
Addresses
Primary practice location
123 Columbia Tpke Ste 201a
Florham Park, NJ 07932-2192
Mailing address
67 Wood Duck CT
Hackettstown, NJ 07840-3320
Phone (202) 549-7474
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 |
|---|---|---|---|
| 44SL06020100 | NJ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kpi Wellness | Past | Accepting new patients | |
| The Kraft Group, Inc. | Social Worker | 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.
-
- Psychologist
- Florham Park, NJ
- NPI 1407697279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1124511449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 WOOD DUCK CT",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078403320",
"telephone_number": "202-549-7474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 COLUMBIA TPKE STE 201A",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079322192",
"telephone_number": "862-485-0328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVIERI",
"first_name": "ANNIE",
"middle_name": "AMANDA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06020100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.