Individual
OLIVIA CLAIRE LAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
2201 18TH ST NW, WASHINGTON, DC 20009-1812
(857) 212-3444
Mailing address
272 GALLIVAN BLVD, BOSTON, MA 02124-4733
(857) 212-3444
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG50083251
DC
1041C0700X
Clinical Social Worker
Primary
LC200002485
DC
Other
Enumeration date
02/08/2022
Last updated
04/24/2026
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