Provider Demographics
NPI:1629661814
Name:PLANTE, OLIVIA ELIZABETH (LCSW)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:ELIZABETH
Last Name:PLANTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 DWIGHT RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01108-3405
Mailing Address - Country:US
Mailing Address - Phone:413-575-6175
Mailing Address - Fax:
Practice Address - Street 1:11 MIDSTATE DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-1881
Practice Address - Country:US
Practice Address - Phone:774-379-0677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2287731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical