Provider Demographics
NPI:1871259044
Name:DADDI, OLIVIA SIMONE
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:SIMONE
Last Name:DADDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:OLIVE
Other - Middle Name:SIMONE
Other - Last Name:DADDI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:3072 44TH ST APT 2L
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11103-2464
Mailing Address - Country:US
Mailing Address - Phone:917-621-5083
Mailing Address - Fax:
Practice Address - Street 1:137 W 19TH ST STE 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-4154
Practice Address - Country:US
Practice Address - Phone:347-466-9449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker