Provider Demographics
NPI:1184379042
Name:OLIVER, CRISTINA ELENA (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:ELENA
Last Name:OLIVER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142P CANAL ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-4650
Mailing Address - Country:US
Mailing Address - Phone:860-655-8182
Mailing Address - Fax:
Practice Address - Street 1:142P CANAL ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-4650
Practice Address - Country:US
Practice Address - Phone:860-655-8182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker