Individual provider Active NPI

Neville H Oliver Jr., LCSW

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1275765257
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083360 Issued in NY
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

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
474908712OtherTAX 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

LicenseStateTypeSpecialty
078782NYMDSocial Worker
083360NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.