Healthcare Provider Details

I. General information

NPI: 1962348375
Provider Name (Legal Business Name): MS. OLIVIA GIGLIO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6512 SIX FORKS RD STE 505
RALEIGH NC
27615-6527
US

IV. Provider business mailing address

4912 LORD NELSON DR
RALEIGH NC
27610-9744
US

V. Phone/Fax

Practice location:
  • Phone: 919-589-2955
  • Fax: 888-975-6870
Mailing address:
  • Phone: 919-675-3741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP023525
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: