Active NPI
Paula S Olive, LCSW
- Clinical Social Worker
- Athens, TX
National Provider Identifier
1225060007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34709
- Practice address
- 700 S Palestine St
Athens, TX 75751-3325 - Phone
- (903) 675-9570
- Fax
- (903) 675-9577
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34709 | TX | Primary |
Addresses
Primary practice location
700 S Palestine St
Athens, TX 75751-3325
Mailing address
115 Wildwood Way
Trinidad, TX 75163-3079
Phone (903) 778-2162
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225060007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 WILDWOOD WAY",
"city": "TRINIDAD",
"state": "TX",
"postal_code": "751633079",
"telephone_number": "903-778-2162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S PALESTINE ST",
"city": "ATHENS",
"state": "TX",
"postal_code": "757513325",
"telephone_number": "903-675-9570",
"fax_number": "903-675-9577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVE",
"first_name": "PAULA",
"middle_name": "S",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "34709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.