Healthcare Provider Details

I. General information

NPI: 1548803604
Provider Name (Legal Business Name): OLIVE SWINSKI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2019
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 DORIC AVE
CRANSTON RI
02910-2903
US

IV. Provider business mailing address

311 DORIC AVE
CRANSTON RI
02910-2903
US

V. Phone/Fax

Practice location:
  • Phone: 401-467-9610
  • Fax: 401-467-9030
Mailing address:
  • Phone: 401-467-9610
  • Fax: 401-467-9030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW02309
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: