Active NPI
Karen Olvera, LSW
- Social Worker
- Lisle, IL
National Provider Identifier
1407547375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150108428
- Practice address
- 4614 Main St Ste 2
Lisle, IL 60532-1212 - Phone
- (630) 201-2856
- NPI assigned
- May 19, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150108428 | IL | Primary |
Addresses
Primary practice location
4614 Main St Ste 2
Lisle, IL 60532-1212
Mailing address
3006 Mayfair Ave
Westchester, IL 60154-5013
Phone (708) 427-1008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20250904000868 | IL | Practitioner - Clinical Social Worker | 6709388333 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Three Point Healthcare LLC
Practice addresses (Care Compare)
19805 S la Grange Rd
Mokena, IL 60448-8348
Phone (708) 938-3378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150108428 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Point Healthcare LLC | Current | Accepting new patients |
Locations
1695 Plainfield Rd
Crest Hill, IL 60403
Phone (708) 938-3378
19805 S La Grange Rd
Mokena, IL 60448
Phone (708) 938-3378
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1407547375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3006 MAYFAIR AVE",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545013",
"telephone_number": "708-427-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4614 MAIN ST STE 2",
"city": "LISLE",
"state": "IL",
"postal_code": "605321212",
"telephone_number": "630-201-2856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLVERA",
"first_name": "KAREN",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-19",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150108428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.