Healthcare Provider Details

I. General information

NPI: 1427934058
Provider Name (Legal Business Name): OLIVIA TEMPLETON LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: OLIVIA VITULANO

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 FOREST AVE STE 201
PARAMUS NJ
07652-5246
US

IV. Provider business mailing address

35 MOUNTAINSIDE DR
RINGWOOD NJ
07456-2811
US

V. Phone/Fax

Practice location:
  • Phone: 201-565-2920
  • Fax:
Mailing address:
  • Phone: 973-934-9221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL07322200
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: