Michele B Olive, LCSW, CSOTP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006221 Issued in VA

Practice address

472 Polaris St
BLDG 586
Virginia Beach, VA 23461-1912

Phone

(757) 862-0047

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Tidewater Psychotherapy Services

  • Addiction (Substance Use Disorder) Counselor
  • Virginia Beach, VA
  • NPI 1164536496
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1629090444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 POLARIS ST",
            "address_2": "BLDG 586",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234611912",
            "telephone_number": "757-862-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 POLARIS ST",
            "address_2": "BLDG 586",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234611912",
            "telephone_number": "757-862-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVE",
        "first_name": "MICHELE",
        "middle_name": "B",
        "credential": "LCSW, CSOTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S Scott Olexy, PA-C
• Erica Oliphant
• Leonardo Martin Oliva, D.O.
• Maria Teresa Olivas, RN
• Olive Tree Counseling and Mediation
• Eboni Oliver, RN
• Geovani L Oliver
• Sonja Flye Oliver, BT
• Tracy Scott Oliver, DDS
• Darlene G Olivo-Cesar

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.