Provider Demographics
NPI:1336822196
Name:GAUVIN, OLIVIA VIOLET (MSW)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:VIOLET
Last Name:GAUVIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 NOYES AVE
Mailing Address - Street 2:
Mailing Address - City:MATTAPOISETT
Mailing Address - State:MA
Mailing Address - Zip Code:02739-2348
Mailing Address - Country:US
Mailing Address - Phone:508-728-7065
Mailing Address - Fax:
Practice Address - Street 1:1052 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-1602
Practice Address - Country:US
Practice Address - Phone:508-728-7065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical