Provider Demographics
NPI:1619495157
Name:PLUNKETT, OLIVIA ROSE VARNEY (LCSW)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:ROSE VARNEY
Last Name:PLUNKETT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:ROSE
Other - Last Name:VARNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:424 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3012
Mailing Address - Country:US
Mailing Address - Phone:610-836-2259
Mailing Address - Fax:
Practice Address - Street 1:721 E LANCASTER AVE STE 1A
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2719
Practice Address - Country:US
Practice Address - Phone:484-237-1853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-05
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0213191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical