Provider Demographics
NPI:1689402224
Name:ANUSIONWU, OLIVIA (LCSW, LCADC)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:ANUSIONWU
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SUNRISE RD # 321
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08009-1541
Mailing Address - Country:US
Mailing Address - Phone:856-418-9700
Mailing Address - Fax:
Practice Address - Street 1:1 SUNRISE RD # 321
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NJ
Practice Address - Zip Code:08009-1541
Practice Address - Country:US
Practice Address - Phone:856-418-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00372800101YA0400X
NJ44SC063561001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)