Individual provider Active NPI

Olivia Louise Tufo

  • Clinical Social Worker
  • Norwich, CT
National Provider Identifier
1962026120
Registry record updated Mar 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11039 Issued in CT
Practice address
40 Broadway
Norwich, CT 06360-5702
Phone
(860) 887-6536
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11039 CT Primary

Addresses

Primary practice location

40 Broadway
Norwich, CT 06360-5702

Mailing address

64 Ray Hill Rd
East Haddam, CT 06423-1353
Phone (860) 383-9342

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11039CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Olivia Tufo LCSW LLC Clinical CurrentSince May 8, 2022 Accepting new patients
Reliance Health, Inc PastSince Jun 14, 2020 Accepting new patients

Organizations & group practices 2

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616889600000",
    "number": "1962026120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 RAY HILL RD",
            "city": "EAST HADDAM",
            "state": "CT",
            "postal_code": "064231353",
            "telephone_number": "860-383-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BROADWAY",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063605702",
            "telephone_number": "860-887-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFO",
        "first_name": "OLIVIA",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2021; 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.