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NPI Code Detail

MEDICARE: KELLI OLIVER

MEDICARE: KELLI OLIVER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW230833MA

General Provider Information

NPI Number : 1154255834
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLI OLIVER
Provider Business Mailing Address
First Line : 45 WILLIAMS ST
Second Line :
City : MALDEN
State : MA
Zip : 02148-1839
Country : US
Telephone Number : 770-881-3988
Fax Number :
Provider Business Practice Location Address
First Line : 115 MILL ST
Second Line :
City : BELMONT
State : MA
Zip : 02478-1048
Country : US
Telephone Number : 617-855-2714
Fax Number : 617-855-3726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ KELLI OLIVER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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