Active NPI
Carrie Oliver, MSW
- Clinical Social Worker
- Deland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW1196
- Practice address
- 105 W Calvin St
Deland, FL 32720-7403 - Phone
- (800) 539-4228
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW1196 | FL | Primary |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
105 W Calvin St
Deland, FL 32720-7403
Mailing address
7777 E Yale Ave
#F105
Denver, CO 80231-6055
Phone (720) 244-2433
Other practice location 1
8989 Huron St
Thornton, CO 80260-6858
Phone (303) 853-3511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012235000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1275 W Granada Blvd
Suite 6a
Ormond Beach, FL 32174-8105
Phone (386) 449-8600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW1196 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oceanvista Counseling Associates, LLC | Current | Accepting new patients | |
| Community Reach Center | Past | Accepting new patients |
Locations
1450 N US Highway 1
Ste 500
Ormond Beach, FL 32174
Phone (386) 449-8600
1275 W Granada Blvd
Ste 6A
Ormond Beach, FL 32174
Phone (386) 236-9912
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Ormond Beach, FL
- NPI 1912588039
-
- Mental Illness Community Based Residential Treatment Facility
- Thornton, CO
- NPI 1598817710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1871646125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 E YALE AVE",
"address_2": "#F105",
"city": "DENVER",
"state": "CO",
"postal_code": "802316055",
"telephone_number": "720-244-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W CALVIN ST",
"city": "DELAND",
"state": "FL",
"postal_code": "327207403",
"telephone_number": "800-539-4228"
}
],
"practiceLocations": [
{
"address_1": "8989 Huron St",
"address_purpose": "LOCATION",
"city": "Thornton",
"state": "CO",
"postal_code": "802606858",
"country_code": "US",
"telephone_number": "303-853-3511",
"fax_number": "303-487-7240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVER",
"first_name": "CARRIE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW1196",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012235000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.