Provider Demographics
NPI:1780156638
Name:OLIVAR, CHELSEA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:
Last Name:OLIVAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:DE CARVALHO FONSECA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10408 CALLE CHULITA NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-5367
Mailing Address - Country:US
Mailing Address - Phone:714-323-4512
Mailing Address - Fax:
Practice Address - Street 1:1100 W TOWN AND COUNTRY RD STE 1250
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4633
Practice Address - Country:US
Practice Address - Phone:714-543-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA847091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical