Healthcare Provider Details

I. General information

NPI: 1366812638
Provider Name (Legal Business Name): OLIVIA STERLING LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2015
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 N HIGHLAND AVE
NYACK NY
10960
US

IV. Provider business mailing address

407 N HIGHLAND AVE
NYACK NY
10960-1335
US

V. Phone/Fax

Practice location:
  • Phone: 347-674-7873
  • Fax:
Mailing address:
  • Phone: 347-674-7873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number089877
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number095838
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: