Sofia Denise Olds

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3004 Chase Way
Marianna, FL 32446-6477

Phone

(850) 616-2833

NPI assigned

Mar 4, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047
  Medicare reassignment NPD
• Endless Empowerment, PLLC

  • Community/Behavioral Health Agency
  • Marianna, FL
  • NPI 1356052351
  NPD Authorized official

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1245622992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 CHASE WAY",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324466477",
            "telephone_number": "850-616-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 CHASE WAY",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324466477",
            "telephone_number": "850-616-2833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2711 W 15th St",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324011366",
            "country_code": "US",
            "telephone_number": "850-769-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLDS",
        "first_name": "SOFIA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Florida Healthcare, Inc.
• Madison Grace Nowell
• Michael P Nuccio, PA
• Alexandra Lytle O'Brien, LCSW
• Raul Philip Olazabal, MD
• Kari Oliver, PHARMD
• Reagan Eliza Oliver
• Tara L Oswald, LMHC
• Kristin Kent Owens, DNP, NP-C
• Pain Clinic of Northwest FL, Inc

• Clinical Social Worker in Marianna, FL
• Providers in Marianna, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.