Active NPI
Olivia Holly Lavelle, MSW, PPSC
- Clinical Social Worker
- Santa Clara, CA
National Provider Identifier
1518495258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 119670
- Practice address
- 5201 Great America Pkwy
Santa Clara, CA 95054-1122 - Phone
- (323) 205-7088
- Fax
- (866) 280-0260
- NPI assigned
- May 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 86347 | CA | |
| Social Worker | 104100000X | 119670 | CA | |
| Clinical Social Worker | 1041C0700X | 119670 | CA | Primary |
Addresses
Primary practice location
5201 Great America Pkwy
Santa Clara, CA 95054-1122
Mailing address
1501 Hughes Way Ste 100
Long Beach, CA 90810-1877
Phone (310) 221-6336
Other practice location 1
1501 Hughes Way Ste 150
Long Beach, CA 90810-1878
Phone (310) 221-6336 ext. 128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86347 | CA | MD | Mental Health Counselor |
| 119670 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star View Health Care | Current | Accepting new patients |
Locations
1501 Hughes Way
Ste 100
Long Beach, CA 90810
Phone 3102216336 ext. 128
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.
-
- Community Health Clinic/Center
- Long Beach, CA
- NPI 1396542817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1518495258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 HUGHES WAY STE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908101877",
"telephone_number": "310-221-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 GREAT AMERICA PKWY",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950541122",
"telephone_number": "323-205-7088",
"fax_number": "866-280-0260"
}
],
"practiceLocations": [
{
"address_1": "1501 Hughes Way Ste 150",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908101878",
"country_code": "US",
"telephone_number": "310-221-6336 x128",
"fax_number": "310-221-6350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAVELLE",
"first_name": "OLIVIA",
"middle_name": "HOLLY",
"credential": "MSW, PPSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-25",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "86347",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "119670",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "119670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.