Active NPI
Olivia Louise Tufo
- Clinical Social Worker
- Norwich, CT
National Provider Identifier
1962026120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11039
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11039 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olivia Tufo LCSW LLC | Clinical | Current | Accepting new patients |
| Reliance Health, Inc | Past | 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.
-
- Clinical Social Worker
- East Haddam, CT
- NPI 1013652338
-
- Case Management Agency
- Norwich, CT
- NPI 1518198597
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.