Provider Demographics
NPI:1538903752
Name:RIOS, OLIVIA F (MSW)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:F
Last Name:RIOS
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 1:140 BELLAMY LOOP APT 5C
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-3716
Mailing Address - Country:US
Mailing Address - Phone:646-400-3937
Mailing Address - Fax:
Practice Address - Street 1:140 BELLAMY LOOP APT 5C
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-3716
Practice Address - Country:US
Practice Address - Phone:646-400-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker