Olimpia Fiore Etts, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15217 Issued in MD

Practice address

109 La Grange Ave
Suite 102
La Plata, MD 20646-9592

Phone

(917) 576-7237

NPI assigned

Aug 14, 2008

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1710133285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 NEW FOREST CT",
            "address_2": "APT. 5",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034735",
            "telephone_number": "917-576-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LA GRANGE AVE",
            "address_2": "SUITE 102",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206469592",
            "telephone_number": "917-576-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTS",
        "first_name": "OLIMPIA",
        "middle_name": "FIORE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirstin English, LMSW
• Dwayne Omar Ennis, PMHNP-BC
• Srinivas Erukulla
• Emily Rose Estep
• Michael Etts, LCSW-C, ACH
• Joseph Daniel Evans, CF-SLP
• Michelle Evans, LCPC, LPC
• Expanding Horizons Counseling and Wellness
• Express Mobile Lab
• Uchechukwu Janet Eyisi, PHARMD

• Clinical Social Worker in La Plata, MD
• Providers in La Plata, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.