Olivia Michelle Carter
Individual provider Active NPI Social Worker · Grove, OK
NPI 1316623473 · NPPES record last updated Aug 26, 2025
Key facts
- NPI
- 1316623473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 21644 (OK)
- Practice address
- 1115 Harbor Rd
Grove, OK 74344-3505 - Phone
- (844) 458-2100
- NPI assigned
- Jun 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202302925 | MO | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 202302925 | MO | |
| Social Worker | 104100000X | 21644 | OK | Yes |
Addresses
Primary practice location
1115 Harbor Rd
Grove, OK 74344-3505
Mailing address
1700 Pond Rd
Grove, OK 74344-5144
Phone (918) 978-0506
Other providers in Grove, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.