Provider Demographics
NPI:1043405970
Name:AYBAR-TORRES, OLIVIA (MSW-LCADC)
Entity Type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:
Last Name:AYBAR-TORRES
Suffix:
Gender:F
Credentials:MSW-LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 TWINBROOK PKWY
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20851-1400
Mailing Address - Country:US
Mailing Address - Phone:240-777-3324
Mailing Address - Fax:240-777-3381
Practice Address - Street 1:7301 NEEDWOOD RD
Practice Address - Street 2:
Practice Address - City:DERWOOD
Practice Address - State:MD
Practice Address - Zip Code:20855-1975
Practice Address - Country:US
Practice Address - Phone:301-788-2427
Practice Address - Fax:240-777-3381
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA435101YA0400X
MD143761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)