Healthcare Provider Details

I. General information

NPI: 1063992782
Provider Name (Legal Business Name): MARIA VICTORIA OLIVA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2018
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 COMMERCIAL ST
HOLYOKE MA
01040-4704
US

IV. Provider business mailing address

800 DISTRICT AVE STE 520
BURLINGTON MA
01803-5060
US

V. Phone/Fax

Practice location:
  • Phone: 413-846-0445
  • Fax:
Mailing address:
  • Phone: 703-318-2325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW1142900
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: