Individual provider Active NPI

Rebecca Leigh Olivier, MSW, LLMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1275372757
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851117939 Issued in MI
Practice address
1100 Victors Way Suite 10
Ann Arbor, MI 48108
Phone
(734) 973-6779
NPI assigned
May 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851117939 MI Primary

Addresses

Primary practice location

1100 Victors Way Suite 10
Ann Arbor, MI 48108

Mailing address

5980 Strawberry Lake Rd
Whitmore Lake, MI 48189
Phone (248) 930-2280

Other practice location 1

5980 Strawberry Lake Rd
Whitmore Lake, MI 48189
Phone (248) 930-2280

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Human Medicine, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1100 Victors Way
Suite 10
Ann Arbor, MI 48108-5220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851117939MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1275372757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 STRAWBERRY LAKE RD",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "48189",
            "telephone_number": "248-930-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VICTORS WAY SUITE 10",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-973-6779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5980 Strawberry Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Whitmore Lake",
            "state": "MI",
            "postal_code": "48189",
            "country_code": "US",
            "telephone_number": "248-930-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVIER",
        "first_name": "REBECCA",
        "middle_name": "LEIGH",
        "credential": "MSW, LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851117939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.