Jessica Oliver, LCSW
Individual provider Active NPI Clinical Social Worker · Webster, FL
NPI 1689228355 · NPPES record last updated Dec 5, 2022
Key facts
- NPI
- 1689228355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW18101 (FL)
- Practice address
- 36178 Gresham Rd
Webster, FL 33597-9287 - Phone
- (813) 449-2500
- NPI assigned
- Jul 30, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW13358 | FL | MD | Clinical Social Worker |
| SW18101 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | ISW13358 | FL | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | SW18101 | FL | Yes |
Addresses
Primary practice location
36178 Gresham Rd
Webster, FL 33597-9287
Mailing address
36178 Gresham Rd
Webster, FL 33597-9287
Phone (813) 449-2500
Other practice location 1
17222 Hospital Blvd Ste 226
Brooksville, FL 34601-8925
Phone (352) 678-5550
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica@peacefulpasturesranch.org | Direct |
Other providers in Webster, FL
- Michaela Kassha-Chisolm
- Contessa Kelley
- Orthneil Kelley
- Shacoya Longwood
- Rosalind Marrion
- Peaceful Pastures Therapy LLC
- Quality Transit LLC
- Shainee Kathryn Ramirez
- Shady Acres, Inc.
All providers in Webster, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.