Jose A Olmo, LCSW LICENSED CLINIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

001862 Issued in CT

Practice address

1057 Broad St
Bridgeport, CT 06604

Phone

(203) 336-3661

Fax

(203) 336-6525

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Catholic Charities of Fairfield County, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norwalk, CT
  • NPI 1972727394
  NPD (past)
• Elation Wellness

  • Clinical Social Worker
  • Bridgeport, CT
  • NPI 1487109252
  NPD (past)
• State of Connecticut

  • Skilled Nursing Facility
  • Rocky Hill, CT
  • NPI 1205951662
  NPD (past)
• State of Connecticut

  • Psychiatric Hospital
  • Bridgeport, CT
  • NPI 1720013360
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346338779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 BROAD ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06604",
            "telephone_number": "203-336-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 BROAD ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06604",
            "telephone_number": "203-336-3661",
            "fax_number": "203-336-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMO",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LCSW LICENSED CLINIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "001862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bukola Oladokun
• Nahum Oliva Zacarias
• Elaine C. Oliveira, MD
• Liam P Oliver, PA-C
• Luz M Oliver, LCSW
• Alan Olson
• Olutayo Olukoya
• Sofia Oluwole, MD, PHD
• Joann Omisore, LMSW
• Jesutofunmi Adesanmi Omiye

• Clinical Social Worker in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.