Healthcare Provider Details

I. General information

NPI: 1235046483
Provider Name (Legal Business Name): OLIVIA ANNIBALE LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 N BEERS ST
HOLMDEL NJ
07733-1514
US

IV. Provider business mailing address

727 N BEERS ST
HOLMDEL NJ
07733-1514
US

V. Phone/Fax

Practice location:
  • Phone: 732-739-5900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL07473700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: