Ciro Thomas Olivares, MSW
Individual provider Active NPI Clinical Social Worker · Pittsfield, ME
NPI 1164580957 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164580957
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC1228 (ME)
- Practice address
- 12 Waverly Avenue
Pittsfield, ME 04967 - Phone
- (207) 623-8411
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC1228 | ME | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC1228 | ME | Yes |
Addresses
Primary practice location
12 Waverly Avenue
Pittsfield, ME 04967
Mailing address
12 Waverly Ave
Pittsfield, ME 04967-1118
Phone (207) 623-8411
Other providers in Pittsfield, ME
- Anna McKenney
- Msad #53
- Anna Nault
- New View Counseling
- New View Counseling
- Michael C Parks
- Anna W Peterson
- Pine Tree Radiology PA
- Pine Tree Radiology PA
- Pittsfield Community Care LLC
All providers in Pittsfield, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.