Active NPI
Jennifer R Oliva, LCSW
- Clinical Social Worker
- Anaconda, MT
National Provider Identifier
1386957538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 470
- Practice address
- 118 E 7TH St
Anaconda, MT 59711-2900 - Phone
- (406) 691-0326
- NPI assigned
- Jul 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 470 | MT | Primary |
Addresses
Primary practice location
118 E 7TH St
Anaconda, MT 59711-2900
Mailing address
PO Box 1133
Anaconda, MT 59711-1133
Phone (406) 691-0326
Other names 1
- Jen Oliva
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121113000298 | MT | Practitioner - Clinical Social Worker | 0446401863 | Practice locations: Anaconda, MT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
118 E 7TH St
Anaconda, MT 59711-2900
Phone (406) 691-0326
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 470 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1386957538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1133",
"city": "ANACONDA",
"state": "MT",
"postal_code": "597111133",
"telephone_number": "406-691-0326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E 7TH ST",
"city": "ANACONDA",
"state": "MT",
"postal_code": "597112900",
"telephone_number": "406-691-0326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVA",
"first_name": "JENNIFER",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-16",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEN",
"last_name": "OLIVA",
"credential": "I",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Anaconda, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.