Olivia Piersall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

64009942A Issued in IN

Practice address

37 E Washington St
Shelbyville, IN 46176-1363

Phone

(260) 307-5030

NPI assigned

Oct 3, 2024

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

Other names 1

• Olivia Mohr Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renovate Counseling Services LLCGroup PAC ID 6103246376, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Renovate Counseling Services LLC

  • Mental Health Counselor
  • Bluffton, IN
  • NPI 1689135279
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1548088958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W CHERRY ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467142008",
            "telephone_number": "260-307-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E WASHINGTON ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761363",
            "telephone_number": "260-307-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSALL",
        "first_name": "OLIVIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "64009942A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "MOHR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mikalia Petro
• Laura Megan Phares, RN
• Heather Ann Phillips
• Tammie Jean Phillips, NP-C
• Richard Piatek
• Christina M Pogue, N.P.
• Sean Porath, DMD
• Sydney Posz
• Tiong Oen Pouw, M.D.
• Premise Health of Indiana Medical PC

• Clinical Social Worker in Shelbyville, IN
• Providers in Shelbyville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.

Verify at the official NPI Registry.