MEDICARE: OLIVIA SIMONE DADDI LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1871259044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA SIMONE DADDI LCSW

Provider Business Mailing Address
First Line	:	60 PLAZA ST E
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-5025
Country	:	US
Telephone Number	:	917-621-5083
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 PLAZA ST E
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-5025
Country	:	US
Telephone Number	:	347-466-9449
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2021
Last Update Date	:	09/07/2025

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