Olivia Gobble, LCSW

Individual provider Active NPI Clinical Social Worker · Leoma, TN

NPI 1134470511 · NPPES record last updated Dec 19, 2022

Key facts

NPI
1134470511
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
39 Purcell Rd
Leoma, TN 38468-5380
Phone
(931) 242-4249
NPI assigned
Sep 26, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Olivia Fields Gobble, LCSW LSSW, LLC. Current
since Mar 13, 2022
Accepting new patients

Locations

413 W Gaines St
Lawrenceburg, TN 38464
Phone (931) 242-4249

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X TN
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X TN Yes

Addresses

Primary practice location

39 Purcell Rd
Leoma, TN 38468-5380

Mailing address

39 Purcell Rd
Leoma, TN 38468-5380
Phone (931) 242-4249

Other providers in Leoma, TN

All providers in Leoma, TN · Clinical Social Worker in Tennessee

Sources for this page

Verify at the official NPI Registry.