Shaylee Olive, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

6498 Way Ave
Fort Benning, GA 31905-3771

Phone

(706) 545-7401

NPI assigned

Feb 29, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1073973376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6498 WAY AVE",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319053771",
            "telephone_number": "706-545-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6498 WAY AVE",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319053771",
            "telephone_number": "706-545-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVE",
        "first_name": "SHAYLEE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nereus Noshirwani
• Jennifer Nicole O'Connor, RN
• Samuel O'Garro, PA STUDENT
• Autumn Marie Oakley, ATC
• Hannah Ohara
• Optometry Clinic, Inc.
• Gustavo Ortiz, PTA
• Safrona Osbeck, PSY.D.
• Michael Scott Osborne, PH.D., LPC, NCC
• Crystal J Owens

• Clinical Social Worker in Fort Benning, GA
• Providers in Fort Benning, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.