Individual ProviderEva OlivaresSocial WorkerBehavioral Health & Social Service ProvidersPractice Address174 Grand Ave, Englewood, NJ 07631-3585(201) 819-9442PECOS EnrollmentBased on the most recent information from CMS, provider Eva Olivares does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1700150596Provider TypeIndividualFull NameOlivares, EvaCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date2/27/2012Last Updated12/4/2012Contact InformationPractice LocationPractice Address174 Grand Ave, Englewood, NJ 07631-3585Phone(201) 819-9442FaxUnlisted FaxMailing LocationMailing Address174 Grand Ave, Englewood, NJ 07631-3585Phone(201) 819-9442FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense44SC05477000New Jersey