Olivia Hogan Ismail, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C9099 Issued in MS

Practice address

615 W Pine St
Hattiesburg, MS 39401-3835

Phone

(601) 336-9131

NPI assigned

Oct 12, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Restoration House Counseling

  • Mental Health Counselor
  • Hattiesburg, MS
  • NPI 1497331508

  Clinical

  NPD

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1841952306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S 12TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394016233",
            "telephone_number": "601-218-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W PINE ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013835",
            "telephone_number": "601-336-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "OLIVIA",
        "middle_name": "HOGAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C9099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institute for Spinal Pain Treatment
• Integrated Health & Wellness Solutions
• Interventional Spine & Sports Institute
• Luis A Irizzary, MD
• Latonio Johwayne Irvin
• Aaron Israel, DPM
• J and C Transportation Agency, LLC
• J. N Health Services
• Abdul Jabbar, M.D (MBBS)
• Rami Jabbour

• Clinical Social Worker in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.