Individual provider Active NPI

Nellia Zoraida Olivencia, LCSWR

  • Clinical Social Worker
  • Poughkeepsie, NY
National Provider Identifier
1336241876
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R048808-1 Issued in NY
Practice address
9 Bircher Ave
Poughkeepsie, NY 12601-1006
Phone
(646) 456-6434
Fax
(845) 849-1016
NPI assigned
Sep 4, 2006
Last updated
Apr 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R048808-1 NY Primary

Addresses

Primary practice location

9 Bircher Ave
Poughkeepsie, NY 12601-1006

Mailing address

9 Bircher Ave
Poughkeepsie, NY 12601-1006
Phone (646) 456-6434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040515000022 NY Practitioner - Clinical Social Worker 6406846088 Practice locations: Poughkeepsie, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

389 Hooker Ave
Poughkeepsie, NY 12603-3633
Phone (646) 456-6434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R048808-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hambright Medical, PLLC CurrentSince May 6, 2025 Accepting new patients
Neil I. Teicher, L.C.S.W. Clinical Past Accepting new patients

Locations

167 Green St
Kingston, NY 12401
Phone (845) 241-7060

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1336241876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BIRCHER AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011006",
            "telephone_number": "646-456-6434",
            "fax_number": "845-849-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BIRCHER AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011006",
            "telephone_number": "646-456-6434",
            "fax_number": "845-849-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVENCIA",
        "first_name": "NELLIA",
        "middle_name": "ZORAIDA",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R048808-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.