Olivia Clark Incardona

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0000000641 Issued in CO

Practice address

3033 E Mississippi Ave
Denver, CO 80210-2000

Phone

(847) 816-8085

NPI assigned

May 17, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Higher Sights Counseling

  • Community/Behavioral Health Agency
  • Denver, CO
  • NPI 1477161495
  NPD

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1295472686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 E MISSISSIPPI AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102000",
            "telephone_number": "847-816-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 E MISSISSIPPI AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102000",
            "telephone_number": "847-816-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCARDONA",
        "first_name": "OLIVIA",
        "middle_name": "CLARK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "0000000641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000641",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "address_1": "3033 E Mississippi Ave",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802102000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• In Sight Counseling of Colorado, LLC (Lara-Roca Counseling and Consulting)
• Inadvance Medicine Associates PA (Passport Health)
• Inadvance Medicine Associates PA (Passport Health)
• Sharmin Inamullah, BCBA
• Incandescent Counseling & Mediation, PLLC
• Mary A Ince, LSW
• Incentahealth, LLC
• Inclusive Thoughts LLC
• Incorporated Resilience LLC
• Indigo Speech Therapy LLC

• Clinical Social Worker in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.