Individual provider Active NPI

Olivia Lora Martin-Call, LSW

  • Social Worker
  • Clearfield, PA
National Provider Identifier
1215665575
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW137842 Issued in PA
Practice address
6335 Goshen Rd
Clearfield, PA 16830-8867
Phone
(724) 718-4175
NPI assigned
Aug 12, 2022
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW137842 PA Primary

Addresses

Primary practice location

6335 Goshen Rd
Clearfield, PA 16830-8867

Mailing address

6335 Goshen Rd
Clearfield, PA 16830-8867

Other practice location 1

2612 Mercer St
Sandy Lake, PA 16145-3736
Phone (724) 718-4175

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW137842PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Speak Life Counseling Services Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1215665575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6335 GOSHEN RD",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168308867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6335 GOSHEN RD",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168308867",
            "telephone_number": "724-718-4175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2612 Mercer St",
            "address_purpose": "LOCATION",
            "city": "Sandy Lake",
            "state": "PA",
            "postal_code": "161453736",
            "country_code": "US",
            "telephone_number": "724-718-4175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN-CALL",
        "first_name": "OLIVIA",
        "middle_name": "LORA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW137842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.