Provider Demographics
NPI:1790025575
Name:OLIVER, DEBORAH R (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:R
Last Name:OLIVER
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 1:10 KEIBEL RD
Mailing Address - Street 2:
Mailing Address - City:WHITNEY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:13862
Mailing Address - Country:US
Mailing Address - Phone:607-692-8201
Mailing Address - Fax:607-692-8256
Practice Address - Street 1:10 KIEBEL RD
Practice Address - Street 2:
Practice Address - City:WHITNEY POINT
Practice Address - State:NY
Practice Address - Zip Code:13862
Practice Address - Country:US
Practice Address - Phone:607-692-8201
Practice Address - Fax:607-692-8256
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-15
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0854771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical