Individual provider Active NPI

Daniel Olavarria, DSW, LCSW, LICSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1558748632
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086060 Issued in NY
Practice address
255 S 17TH St Ste 1410
Philadelphia, PA 19103-6214
Phone
(646) 760-8421
NPI assigned
Apr 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW1142729 MA
Clinical Social Worker 1041C0700X 086060 NY Primary
Clinical Social Worker 1041C0700X 149.041494 IL
Clinical Social Worker 1041C0700X TPSW315 FL
Clinical Social Worker 1041C0700X 089.0136906TELE VT
Clinical Social Worker 1041C0700X Q5-0000332 DE
Clinical Social Worker 1041C0700X 102282 CA
Clinical Social Worker 1041C0700X 44SC06085800 NJ
Clinical Social Worker 1041C0700X CW025421 PA
Clinical Social Worker 1041C0700X CSW.09932740 CO
Clinical Social Worker 1041C0700X 58.016882 CT
Clinical Social Worker 1041C0700X 5771391 ID
Clinical Social Worker 1041C0700X TLS515-CP SC

Addresses

Primary practice location

255 S 17TH St Ste 1410
Philadelphia, PA 19103-6214

Mailing address

228 Park Ave S
PMB 16968
New York, NY 10003-1502
Phone (646) 760-8421

Other practice location 1

2028 Rittenhouse Sq # 301
Philadelphia, PA 19103-5621
Phone (646) 760-8421

Other practice location 2

228 Park Ave S
PMB 16968
New York, NY 10003-1502
Phone (646) 760-8421

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

LicenseStateTypeSpecialty
086060NYMDSocial Worker
093724NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The City Psychotherapy New York, LCSW, PLLC Clinical Current Accepting new patients

Locations

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

580 5th Ave
Ste 820
New York, NY 10036
Phone (347) 470-5801

255 S 17th St
Ste 1410
Philadelphia, PA 19103
Phone (646) 760-8421

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1558748632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PARK AVE S",
            "address_2": "PMB 16968",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031502",
            "telephone_number": "646-760-8421",
            "fax_number": "646-921-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST STE 1410",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036214",
            "telephone_number": "646-760-8421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2028 Rittenhouse Sq # 301",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191035621",
            "country_code": "US",
            "telephone_number": "646-760-8421",
            "fax_number": "646-921-9525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "228 Park Ave S",
            "address_2": "PMB 16968",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100031502",
            "country_code": "US",
            "telephone_number": "646-760-8421",
            "fax_number": "646-921-9525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLAVARRIA",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1142729",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086060",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.041494",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW315",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0136906TELE",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q5-0000332",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "102282",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06085800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025421",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09932740",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.016882",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "5771391",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "TLS515-CP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; 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.