Individual
OLIVIA R TISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
4400 MACARTHUR BLVD NW STE 300, WASHINGTON, DC 20007-2521
(202) 455-8440
Mailing address
2425 17TH ST NW APT 21, WASHINGTON, DC 20009-2798
(708) 846-0478
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG200002837
DC
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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