Individual provider Active NPI

Teresa Nicole Olivera, LW60665792

  • Social Worker
  • Yakima, WA
National Provider Identifier
1659700235
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LW60665792 Issued in WA
Practice address
111 South 2ND Ave
Yakima, WA 98902
Phone
(509) 575-2885
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LW60665792 WA Primary
Clinical Social Worker 1041C0700X SA60431101 WA
Clinical Social Worker 1041C0700X CG60419842 WA
Clinical Social Worker 1041C0700X LW60665792 WA

Addresses

Primary practice location

111 South 2ND Ave
Yakima, WA 98902

Mailing address

33 S 2ND Ave
Yakima, WA 98902-3414
Phone (509) 864-7699

Other practice location 1

3800 Summitview Ave
Yakima, WA 98902-2715
Phone (509) 225-0773

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CG60419842WAMDClinical Social Worker
LW60665792WAMDClinical Social Worker
SA60431101WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Educational Service District 105 CurrentSince Mar 20, 2025 Accepting new patients

Locations

33 S 2nd Ave
Yakima, WA 98902
Phone (509) 567-6685

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": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1659700235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 S 2ND AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023414",
            "telephone_number": "509-864-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SOUTH 2ND AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98902",
            "telephone_number": "509-575-2885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Summitview Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989022715",
            "country_code": "US",
            "telephone_number": "509-225-0773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVERA",
        "first_name": "TERESA",
        "middle_name": "NICOLE",
        "credential": "LW60665792",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW60665792",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SA60431101",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "CG60419842",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60665792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.