Olivia Boulos
Individual provider Active NPI Social Worker · Dayton, NJ
NPI 1689506115 · NPPES record last updated Jun 1, 2026
Key facts
- NPI
- 1689506115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 44SL07458200 (NJ)
- Practice address
- H8 Quincy Cir
Dayton, NJ 08810-1333 - Phone
- (732) 407-6559
- NPI assigned
- Jun 1, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL07458200 | NJ | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL07458200 | NJ | Yes |
Addresses
Primary practice location
H8 Quincy Cir
Dayton, NJ 08810-1333
Mailing address
H8 Quincy Cir
Dayton, NJ 08810-1333
Other providers in Dayton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.