Provider Demographics
NPI:1134948391
Name:CORSI, OLIVIA GRACE (MSW, CSW)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:GRACE
Last Name:CORSI
Suffix:
Gender:F
Credentials:MSW, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 WOLFF ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-1024
Mailing Address - Country:US
Mailing Address - Phone:815-278-5153
Mailing Address - Fax:
Practice Address - Street 1:131 WOLFF ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-1024
Practice Address - Country:US
Practice Address - Phone:815-278-5153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-05
Last Update Date:2024-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical