Olivia Fields Gobble, LCSW LSSW, LLC.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

OLIVIA FIELDS GOBBLE, LCSW LSSW, LLC.

Practice address

413 W Gaines St
Lawrenceburg, TN 38464-3110

Phone

(931) 242-4249

NPI assigned

Mar 8, 2022

Last updated

Dec 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olivia Gobble, LCSW, LSSWNPI 1134470511

Title

Clinical Social Worker/Therapist

Phone

(931) 242-4249

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olivia Gobble, LCSW

  • Clinical Social Worker
  • Leoma, TN
  • NPI 1134470511
  NPD Authorized official

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1760139885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 PURCELL RD",
            "city": "LEOMA",
            "state": "TN",
            "postal_code": "384685380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W GAINES ST",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643110",
            "telephone_number": "931-242-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVIA FIELDS GOBBLE, LCSW LSSW, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "GOBBLE",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/THERAPIST",
        "authorized_official_telephone_number": "931-242-4249",
        "authorized_official_credential": "LCSW, LSSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q072289",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsie Nickle, CNM
• Ryan Matthew Niswander, NP-C
• Northland Hearing Center, Inc. (The Hearing Aid Center)
• Northside Medical Professionals, P.C. (Northside Medical Professionals Lawrenceburg)
• Patsy E Odom, LCSW
• Omni Community Health
• One Stop Medical, LLC
• Orange Medical Equipeoxy
• Adrian Elizabeth Osborn
• Andrea Shannon Owens, APRN-BC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.