Provider Demographics
NPI:1831101252
Name:OLEARY, JAMES (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:OLEARY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COATES DR
Mailing Address - Street 2:SUITE 8
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-6764
Mailing Address - Country:US
Mailing Address - Phone:845-291-0999
Mailing Address - Fax:845-294-8921
Practice Address - Street 1:3 COATES DR
Practice Address - Street 2:SUITE 8
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-6764
Practice Address - Country:US
Practice Address - Phone:845-291-0999
Practice Address - Fax:845-294-8921
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR017045-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical