Individual provider Active NPI

Carrie Oliver, MSW

  • Clinical Social Worker
  • Deland, FL
National Provider Identifier
1871646125
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW1196 Issued in FL
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

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
012235000MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140908000310 FL Practitioner - Clinical Social Worker 6709004674 Reassigns benefits to 1 organization

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
Oceanvista Counseling Associates, LLCGroup PAC ID 2668855644, 4 clinicians

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

LicenseStateTypeSpecialty
SW1196FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanvista Counseling Associates, LLC CurrentSince May 17, 2022 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.

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

Verify at the official NPI Registry.