Provider Demographics
NPI:1063990513
Name:OLIVEROS-WILLIAMS, SAMONE (MSW)
Entity type:Individual
Prefix:
First Name:SAMONE
Middle Name:
Last Name:OLIVEROS-WILLIAMS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 WEST ST STE 221
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-2838
Mailing Address - Country:US
Mailing Address - Phone:412-273-8535
Mailing Address - Fax:412-345-3789
Practice Address - Street 1:907 WEST ST STE 221
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-2838
Practice Address - Country:US
Practice Address - Phone:412-273-8535
Practice Address - Fax:412-345-3789
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-06
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW13114321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty