Active NPI
Daniel Olavarria, DSW, LCSW, LICSW
- Clinical Social Worker
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 086060
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 086060 | NY | MD | Social Worker |
| 093724 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Social Worker
- Philadelphia, PA
- NPI 1114816337
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.