Frezalia Laverne Oliver, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000658 Issued in GA

Practice address

1776 N Jefferson St NE # -
Suite B
Milledgeville, GA 31061-2229

Phone

(478) 451-3112

Fax

(478) 451-0626

NPI assigned

Aug 24, 2006

Last updated

Apr 18, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wide Range of Resources, Inc

  • Clinic/Center
  • Milledgeville, GA
  • NPI 1043459878
  NPD (past) Authorized official
• Wide Range of Resources,Iinc.

  • Clinic/Center
  • Milledgeville, GA
  • NPI 1861680696
  NPD (past) Authorized official

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1336256270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 N JEFFERSON ST NE # -",
            "address_2": "SUITE B",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612229",
            "telephone_number": "478-451-3112",
            "fax_number": "478-451-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 N JEFFERSON ST NE # -",
            "address_2": "SUITE B",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612229",
            "telephone_number": "478-451-3112",
            "fax_number": "478-451-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "FREZALIA",
        "middle_name": "LAVERNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "000658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oconee Valley Healthcare Inc
• Oconee Valley Healthcare Inc
• Mariam C Odigwe, PMHNP
• Olufemi A Ogunyemi, M.D.
• Old Capital Women's Health
• Akinlolu Omitowoju, MD
• On Time Emergency Transportation LLC
• Ona Inc. (Oconee Nursing Agency)
• Open MRI of Milledgeville LLC
• Sandra Joan Orr

• Clinical Social Worker in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.