Katelyn W Oliver, CSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11187391-3502 Issued in UT

Practice address

6405 Old Main Hill
Logan, UT 84322-6405

Phone

(435) 797-0576

Fax

(844) 308-5865

NPI assigned

Nov 20, 2019

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1891331203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 OLD MAIN HILL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843226405",
            "telephone_number": "435-797-0576",
            "fax_number": "844-308-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 OLD MAIN HILL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843226405",
            "telephone_number": "435-797-0576",
            "fax_number": "844-308-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "KATELYN",
        "middle_name": "W",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "11187391-3502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC NPI",
            "identifier": "1447715701",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LOGAN",
            "affiliation": "N",
            "endpointDescription": "place of employment",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "LOGAN",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LOGAN",
            "address_1": "6405 Old Main Hill",
            "city": "Logan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "843226405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bruce A O'Very, MD
• Genessa Oak, OTR/L
• Margaret Oak, LMFT
• John Dennis Odell, MD
• Megan Oka, PH.D., LMFT
• Jana Olney
• Kristyn Olsen, LMT
• Lori Christie Olsen
• Susan Olsen
• Tandy Garth Olsen, M.D.

• Social Worker in Logan, UT
• Providers in Logan, UT by specialty
• Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.