Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Edward Henry Olley, LCSW-R

Individual provider Clinical Social Worker · NPI 1245458405

Mr. Edward Henry Olley, LCSW-R is a Clinical Social Worker in Deer Park, New York. Qualified in 1996, 30 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
30
Licensed in
NY
In the registry since
2007

Practice location Address checks out

144 Lake Ave
Deer Park, NY 11729-4219
Phone: (516) 728-6585
Fax: (631) 667-1078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 060677 (NY)

Record details

NPI number1245458405
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Deer Park