Provider Demographics
NPI:1093222184
Name:SEARY, OLIVER HENDERSON
Entity type:Individual
Prefix:
First Name:OLIVER
Middle Name:HENDERSON
Last Name:SEARY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4108 LYDIA ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15207-1135
Mailing Address - Country:US
Mailing Address - Phone:510-517-4843
Mailing Address - Fax:
Practice Address - Street 1:5830 ELLSWORTH AVE FL 2
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1778
Practice Address - Country:US
Practice Address - Phone:412-368-2211
Practice Address - Fax:412-279-1418
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No172V00000XOther Service ProvidersCommunity Health Worker