Olivia Marie Delisa, MSW
Social Worker, Clinical in Flushing, NY. Individual provider (NPI-1).
NPI number1114573243
StatusActive
Last updated in NPPESOct 14, 2026
Details
- NPI
- 1114573243
- Entity type
- Individual (NPI-1)
- Name
- Olivia Marie Delisa
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 14, 2019
- Certification date
- Oct 14, 2026
- Last updated
- Oct 14, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 095847 | NY | Yes |
Practice location
14202 20th AveFlushing, NY 11351-3000
Phone 718-559-0555
Mailing address
40 Washington AveEast Islip, NY 11730-1132
Phone 516-513-9046
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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