Lisa Andrea Oliver

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

CER123856R729B8 Issued in MD

Practice address

23160 Moakley St
Leonardtown, MD 20650-2922

Phone

(301) 475-5511

NPI assigned

Feb 24, 2025

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

Other names 1

• Dr. Lisa Andrea Longworth Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• St. Mary'S County Public Schools

  • Local Education Agency (LEA)
  • Leonardtown, MD
  • NPI 1437292216
  NPD (past)
• St.Marys County Public Schools/Infants and Toddlers Program

  • Local Education Agency (LEA)
  • Leonardtown, MD
  • NPI 1770915498
  NPD (past)

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1831995463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23160 MOAKLEY ST",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502922",
            "telephone_number": "301-475-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23160 MOAKLEY ST",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502922",
            "telephone_number": "301-475-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "LISA",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MD",
            "license": "CER123856R729B8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LONGWORTH",
            "middle_name": "ANDREA",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maegan Odle
• Mark Ogunsusi, PHARMD
• Sung Jin Oh, DDS
• Kristine Lynn Ohler, B.S., P.T.A.
• Julia Okwuchi Oleru
• Kristin Nicole Ouellette, M.S. CCC-SLP
• Rajarajeswaran Palanisamy
• Kathleen Palazuelos- Donigan, LCSW-C
• Carol Ann Paris, M.D.
• Chandrika K Patel, RPH

• All providers in Leonardtown, MD
• School Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.