Individual provider Active NPI

Jennifer R Oliva, LCSW

  • Clinical Social Worker
  • Anaconda, MT
National Provider Identifier
1386957538
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
470 Issued in MT
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

Updated by the provider on Mar 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
470MTMDClinical 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

Verify at the official NPI Registry.