Provider Demographics
NPI:1689552093
Name:OLIVER, DANIELLE (LSW)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:OLIVER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:POMBO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:71 E SOMERSET ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-2117
Mailing Address - Country:US
Mailing Address - Phone:973-294-2025
Mailing Address - Fax:
Practice Address - Street 1:4 AUER CT STE G
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5826
Practice Address - Country:US
Practice Address - Phone:732-672-8754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NJ44SL073368001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical