Oliver Lawrence Olwyn, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

081165 Issued in NY

Practice address

557 W 148TH St
# 3E
New York, NY 10031-3704

Phone

(917) 623-7778

NPI assigned

Apr 25, 2013

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

Other names 1

• Lawrence Bernard Olwyn Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1922442573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 W 148TH ST",
            "address_2": "# 3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100313704",
            "telephone_number": "917-623-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 W 148TH ST",
            "address_2": "# 3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100313704",
            "telephone_number": "917-623-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLWYN",
        "first_name": "OLIVER",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-25",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "OLWYN",
            "middle_name": "BERNARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Temitayo Olubusola Olupona, M.D.
• Tolulope Olupona, M.D.
• Soji Oluwole, M.D.
• Veronica Olvera
• Kristen M Olwell, OTD, OTR/L
• Maria Claudia Olympia-Gille
• Om Dental Arts, PLLC
• Silvina Om, MD
• Mark Joseph Omalia Jr., MS, CCC-SLP
• Omar K. Armstrong DDS PLLC

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.