Individual provider Active NPI

Shelly Jeanne Oliver, L.C.S.W.

  • Clinical Social Worker
  • West Lake Hills, TX
National Provider Identifier
1770799967
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31598 Issued in TX
Practice address
5524 Bee Caves Rd Ste G2
West Lake Hills, TX 78746-5246
Phone
(512) 663-4165
NPI assigned
May 15, 2007
Last updated
Nov 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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 31598 TX Primary

Addresses

Primary practice location

5524 Bee Caves Rd Ste G2
West Lake Hills, TX 78746-5246

Mailing address

1302 Orlando Rd
Austin, TX 78733-2553
Phone (512) 263-4165

Other practice location 1

2015 S Ih 35 Ste 110
Austin, TX 78741-3810
Phone (512) 663-4165

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31598TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1770799967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 ORLANDO RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787332553",
            "telephone_number": "512-263-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 BEE CAVES RD STE G2",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465246",
            "telephone_number": "512-663-4165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 S Ih 35 Ste 110",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787413810",
            "country_code": "US",
            "telephone_number": "512-663-4165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "SHELLY",
        "middle_name": "JEANNE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "31598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.