Provider Demographics
NPI:1265281257
Name:ARIAS, ODALYS S (MSW, LSW)
Entity type:Individual
Prefix:
First Name:ODALYS
Middle Name:S
Last Name:ARIAS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1751 RALEIGH CT E APT 143A
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-2631
Mailing Address - Country:US
Mailing Address - Phone:732-245-6917
Mailing Address - Fax:
Practice Address - Street 1:554 PROVINCE LINE RD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08501-1306
Practice Address - Country:US
Practice Address - Phone:732-754-5049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL071144001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical