Provider Demographics
NPI:1083641468
Name:DE ARMAS, OLGA ELISA (LICSW)
Entity Type:Individual
Prefix:
First Name:OLGA
Middle Name:ELISA
Last Name:DE ARMAS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 CODDINGTON ST
Mailing Address - Street 2:SUITE # 203
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-4510
Mailing Address - Country:US
Mailing Address - Phone:617-328-4348
Mailing Address - Fax:617-328-4341
Practice Address - Street 1:59 CODDINGTON ST
Practice Address - Street 2:SUITE # 203
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-4510
Practice Address - Country:US
Practice Address - Phone:617-328-4348
Practice Address - Fax:617-328-4341
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10171801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1851802Medicaid
MA1891031OtherMASSACHUSETTS BEHAVIORAL
MA1851802Medicaid