Provider Demographics
NPI:1780404061
Name:WILLIAM FRANCIS OLEARY LCSW PLLC
Entity type:Organization
Organization Name:WILLIAM FRANCIS OLEARY LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:OLEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-921-9138
Mailing Address - Street 1:22 PARSON DR
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-2615
Mailing Address - Country:US
Mailing Address - Phone:631-921-9138
Mailing Address - Fax:866-581-9296
Practice Address - Street 1:600 JOHNSON AVE STE 50
Practice Address - Street 2:
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716-2614
Practice Address - Country:US
Practice Address - Phone:631-921-9138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health