Provider Demographics
NPI:1184415002
Name:CERONE, OLIVIA G (LMSW)
Entity type:Individual
Prefix:MISS
First Name:OLIVIA
Middle Name:G
Last Name:CERONE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5311 ROGERS RD APT C
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-3537
Mailing Address - Country:US
Mailing Address - Phone:716-866-5406
Mailing Address - Fax:
Practice Address - Street 1:4432 BAY VIEW RD
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-1399
Practice Address - Country:US
Practice Address - Phone:716-926-1720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1231221041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool