Active NPI
Neville H Oliver Jr., LCSW
- Clinical Social Worker
- Forest Hills, NY
National Provider Identifier
1275765257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 083360
- Practice address
- 7158 Austin St
Suite#101
Forest Hills, NY 11375-4732 - Phone
- (718) 557-9183
- NPI assigned
- Aug 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 078782 | NY | |
| Clinical Social Worker | 1041C0700X | 083360 | NY | Primary |
Addresses
Primary practice location
7158 Austin St
Suite#101
Forest Hills, NY 11375-4732
Mailing address
125 S Cottage St
Apt 204
Valley Stream, NY 11580-6361
Phone (516) 428-4272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 474908712 | Other | TAX IDENTIFICATION NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078782 | NY | MD | Social Worker |
| 083360 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica R Cesare, Psychologist, PH.D., P.C. | Past | Accepting new patients | |
| Milestone Psychotherapy, LCSW, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Rockville Centre, NY
- NPI 1932465556
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bronx, NY
- NPI 1871974261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1275765257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S COTTAGE ST",
"address_2": "APT 204",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115806361",
"telephone_number": "516-428-4272",
"fax_number": "516-825-1270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7158 AUSTIN ST",
"address_2": "SUITE#101",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754732",
"telephone_number": "718-557-9183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "NEVILLE",
"middle_name": "H",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-10",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "078782",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "083360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "474908712",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.