Latasha Denise Oliver

Primary specialty

Social WorkerTaxonomy code 104100000X

License

69058 Issued in TX

Practice address

600 W Park Row Dr Ste a
Arlington, TX 76010-2559

Phone

(817) 987-2651

Fax

(214) 602-6638

NPI assigned

Dec 15, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1306505516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W PARK ROW DR STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760102559",
            "telephone_number": "817-987-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W PARK ROW DR STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760102559",
            "telephone_number": "817-987-2651",
            "fax_number": "214-602-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "LATASHA",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "69058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Arlington",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 W Park Row Dr Ste A",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760102559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Callistus C Olisaeke
• Gabriel Anthony Olivas
• Olive Branch Management, LLC
• Trevelyn Olive, MD
• Chad Ryan Oliver
• Oliver'S Residential Care,LLC
• Kim Olmedo, LCSW, CCM, CSW-G
• Abigail Olmos
• Jennie J Olopaade, PHARMD
• Monica R Olson, LPC

• Social Worker in Arlington, TX
• Providers in Arlington, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.