Micaela Olivas, LLMSW

Key facts

NPI

1013757947

Entity type

Individual (NPI type 1)

Primary specialty

Social Worker 104100000X

License

6851118022 (MI)

Practice address

1685 Baldwin Ave Ste 100
Pontiac, MI 48340-1242

Phone

(248) 706-3450

NPI assigned

May 29, 2024

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 29, 2024.

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1013757947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 BARTLETT ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412101",
            "telephone_number": "248-277-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 BALDWIN AVE STE 100",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483401242",
            "telephone_number": "248-706-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAS",
        "first_name": "MICAELA",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851118022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

• Occupational Health Centers of Michigan, P.C.
• Carol A Odea, RN, MPA
• Ethan T Ogans, EMT
• Barakat Ogunde, MD
• Ayomide Oyindamola Ojo, MD
• Olamide Ologundudu
• Natalie Oltean, FNP-BC
• Debbie Olter
• Omega Pharmacy LLC
• Omega Pharmacy LLC

All providers in Pontiac, MI · Social Worker in Michigan