Kristi Deroy-Olivero Licsw Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KRISTI DEROY-OLIVERO LICSW INC.

Practice address

37 Myrtle Ave
Holyoke, MA 01040-3513

Phone

(413) 207-2803

NPI assigned

Dec 12, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Kristi Olivero, MSW, LICSWNPI 1578882775

Title

Clinician

Phone

(413) 207-2803

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristi Olivero, LICSW

  • Mental Health Counselor
  • Holyoke, MA
  • NPI 1578882775
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1245008093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HOLLY MEADOW RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010409775",
            "telephone_number": "413-207-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MYRTLE AVE",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403513",
            "telephone_number": "413-207-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI DEROY-OLIVERO LICSW INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "OLIVERO",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "413-207-2803",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Lynn Koppelman, M.D.
• Margaret Erin Koske
• Danielle Kowalski
• Tammi Kozuch, RN
• Sarah Ann Kraft
• Erin Krupa
• Stephanie Kubasek
• Colleen Frances Kubisch, APRN
• Richard Kulpinski
• Darlene Ann Kurman, MHS-ED, MA, RN

• Clinical Social Worker in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.