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MR. EDWARD HENRY OLLEY LCSW-R
NPI 1245458405
Social Worker - Clinical in Deer Park, NY

Active since April 23, 2007PECOS Enrolled
144 LAKE AVE, DEER PARK, NY 11729(516) 728-6585(631) 667-1078 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Edward Henry Olley Lcsw-r NPPES

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

MR. EDWARD HENRY OLLEY LCSW-R (NPI 1245458405) is an individual clinical provider in Deer Park, New York, licensed in New York (060677) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1245458405
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. EDWARD HENRY OLLEYCredential: LCSW-R
Location Address144 LAKE AVEDeer Park, NY 11729-4219
Mailing Address1607 Washington AveSeaford, NY 11783-1927 · (516) 728-6585 · Fax (631) 667-1078
Phone(516) 728-6585
Fax(631) 667-1078
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateApril 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245458405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 060677
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.
144 LAKE AVE, Deer Park, NY 11729
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Edward Henry Olley Lcsw-r is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426317843
PECOS Enrollment IDI20180110002726
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 11729 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 5

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

MR. RAYMOND HARRY PERLMAN LCSW
Social Worker (Clinical)
144 LAKE AVE
DEER PARK, NY 11729
Suffolk County (516) 457-6430
MR. JOSEPH JULIANA MSW
Social Worker (Clinical)
144 LAKE AVE
DEER PARK, NY 11729
Suffolk County (516) 978-7349
DR. RICHARD JAMES EVANGELISTA PH.D.
Psychologist (Clinical)
144 LAKE AVE
DEER PARK, NY 11729
Suffolk County (631) 807-7144
MS. SHANTIE SCHWARTE LCSW
Social Worker (Clinical)
144 LAKE AVE
DEER PARK, NY 11729
Suffolk County (646) 932-1749
MR. GEORGE MICHAEL SIMON M.S.
Marriage & Family Therapist
144 LAKE AVE
DEER PARK, NY 11729
Suffolk County (631) 786-5542

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 Edward Olley's NPI number?

The NPI number for Edward Olley is 1245458405. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Edward Olley located?

Edward Olley practices at 144 Lake Ave, Deer Park, NY 11729. The listed phone number is (516) 728-6585.

What is Edward Olley's specialty?

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

Is Edward Olley enrolled in Medicare?

Yes. Edward Olley is registered in the Medicare PECOS enrollment system.

What insurance does Edward Olley accept?

Health plans from Providence Health Plan list Edward Olley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward Olley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.