Angela D. Oliver, LCSW
Individual provider Active NPI Clinical Social Worker · El Prado, NM
NPI 1003008202 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1003008202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C-06235 (NM)
- Practice address
- 244 Tune Drive
El Prado, NM 87529 - Phone
- (575) 751-9858
- Fax
- (575) 751-9858
- NPI assigned
- Aug 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-06235 | NM | MD | Mental Health Counselor |
| C-06235 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nonviolence Works, Inc. | Past |
Accepting new patients | |
| Sangre de Cristo Community Health Partnership | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | I-06235 | NM | |
| Clinical Social Worker | 1041C0700X | C-06235 | NM | Yes |
Addresses
Primary practice location
244 Tune Drive
El Prado, NM 87529
Mailing address
PO Box 278
El Prado, NM 87529-0278
Phone (575) 751-9858
Other practice location 1
320 Paseo Del Pueblo Sur Ste B
Taos, NM 87571-5021
Phone (575) 613-6789
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99881365 | Medicaid | NM |
Other providers in El Prado, NM
- David M Martin
- Nicole J McDowell-Horn
- Sonrisa Rachel Medina
- Mindy, LLC
- Steven Wayne Morrison
- Hannah Marie Pierce
- Devin K Powell
- Brooke L Powers
- Practice Taos Limited, Concierge Therapy
- Karen K Putman-Engle
All providers in El Prado, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.