Provider Demographics
NPI:1558164277
Name:GUITTARI, OLIVIA (ASW)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:GUITTARI
Suffix:
Gender:
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 117262
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94011-7262
Mailing Address - Country:US
Mailing Address - Phone:862-216-2938
Mailing Address - Fax:
Practice Address - Street 1:2950 FAIR OAKS AVE
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-3828
Practice Address - Country:US
Practice Address - Phone:650-201-5306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA123409104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker