Healthcare Provider Details

I. General information

NPI: 1306587902
Provider Name (Legal Business Name): OLIVIA ABOSHAR MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

272 COUNTY FARM RD
DOVER NH
03820-6003
US

IV. Provider business mailing address

272 COUNTY FARM RD
DOVER NH
03820-6003
US

V. Phone/Fax

Practice location:
  • Phone: 603-516-9300
  • Fax: 603-740-9179
Mailing address:
  • Phone: 603-516-9300
  • Fax: 603-740-9179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: