Individual provider Active NPI

Milan Nicole Oliphant, LCSW

  • Clinical Social Worker
  • San Angelo, TX
National Provider Identifier
1598499105
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106978 Issued in TX
Practice address
36 E Twohig Ave Ste 600
San Angelo, TX 76903-6486
Phone
(325) 944-2561
Fax
(325) 653-4218
NPI assigned
Jul 11, 2022
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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 106978 TX Primary

Addresses

Primary practice location

36 E Twohig Ave Ste 600
San Angelo, TX 76903-6486

Mailing address

36 E Twohig Ave Ste 600
San Angelo, TX 76903-6486
Phone (325) 944-2561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240610003732 TX Practitioner - Clinical Social Worker 3173065794 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Counseling & Guidance Inc Clinical CurrentSince May 5, 2024 Accepting new patients
Oliphant Counseling & Services, PLLC Current Accepting new patients

Locations

102 N Main St
Ste C
Carlsbad, NM 88220

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1598499105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 E TWOHIG AVE STE 600",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036486",
            "telephone_number": "325-944-2561",
            "fax_number": "325-653-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E TWOHIG AVE STE 600",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036486",
            "telephone_number": "325-944-2561",
            "fax_number": "325-653-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIPHANT",
        "first_name": "MILAN",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.