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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OLIVIA LAKES LICSW
NPI 1043964133
Social Worker - Clinical in Boston, MA

Active since February 08, 2022PECOS Enrolled
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118(617) 414-5245(617) 414-5520 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 2, 2026, Jul 31, 2026, Apr 24, 2026 and 1 more (4 updates tracked since 2022).

About Olivia Lakes Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVIA LAKES LICSW (NPI 1043964133) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (LICSW1120799) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1043964133
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameOLIVIA LAKESCredential: LICSW
Location Address1 BOSTON MEDICAL CTR PLBoston, MA 02118-2908
Mailing Address960 Massachusetts Ave Ste 2Boston, MA 02118-2690
Phone(617) 414-5245
Fax(617) 414-5520
Sole ProprietorNo
Enumeration DateFebruary 8, 2022
Last NPPES UpdateSeptember 2, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1043964133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MA · LICSW1120799✔ Licensed in DC · LC200002485
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1 BOSTON MEDICAL CTR PL, Boston, MA 02118
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Secondary Practice Location 1

Location 12201 18th St NWWashington, DC 20009-1812 · Phone (857) 212-3444

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Lakes Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOPHIA N. TOWNSEND CRNA
Nurse Anesthetist, Certified Registered
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 638-6950
MADELYN ROSE CHAMIS
Physician Assistant
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 638-8000
DR. NICKKI P DAWES
Psychologist (Clinical)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 414-5245
COMFORT ATWEREBOANAH
Nurse Practitioner (Psychiatric/Mental Health)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 414-5245
SOFIA PHAM
Student in an Organized Health Care Education/Training Program
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 638-8000
ANEESH T NARANG MD
Emergency Medicine
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118
Suffolk County (617) 414-5481
TEMITAYO OKUBANJO PHARM.D, BCPS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 638-8000
DEBORAH A DAVOLIO NP
Nurse Practitioner
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118
Suffolk County (617) 414-5481

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivia Lakes's NPI number?

The NPI number for Olivia Lakes is 1043964133. It was assigned to this individual provider in the NPPES registry on February 8, 2022.

Where is Olivia Lakes located?

Olivia Lakes practices at 1 Boston Medical Ctr Pl, Boston, MA 02118. The listed phone number is (617) 414-5245.

What is Olivia Lakes's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Olivia Lakes enrolled in Medicare?

Yes. Olivia Lakes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olivia Lakes was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.