Provider Demographics
NPI:1689235236
Name:TAUREL-ASHBY, OLIVIA (LMSW)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:TAUREL-ASHBY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 W 42ND ST APT 37G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-6959
Mailing Address - Country:US
Mailing Address - Phone:317-701-0825
Mailing Address - Fax:
Practice Address - Street 1:350 W 42ND ST APT 37G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-6959
Practice Address - Country:US
Practice Address - Phone:317-701-0825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-25
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker