Provider Demographics
NPI:1689912784
Name:FIGUEIREDO, OLGA FLORIANO (LCSW)
Entity Type:Individual
Prefix:
First Name:OLGA
Middle Name:FLORIANO
Last Name:FIGUEIREDO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 BERMUDA LAKE DR APT 204B
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33510-2287
Mailing Address - Country:US
Mailing Address - Phone:917-297-9521
Mailing Address - Fax:
Practice Address - Street 1:1329 BEACH CHANNEL DR
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-3211
Practice Address - Country:US
Practice Address - Phone:718-337-6800
Practice Address - Fax:718-337-0940
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-23
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0852341041C0700X
FLSW161481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSW16148OtherLCSW
NY082277OtherLCSW