Rosa Esmeralda Olivares, LCSW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

41005 Issued in TX

Practice address

111 N Hasler Blvd Ste 209
Bastrop, TX 78602-3984

Phone

(512) 807-6601

Fax

(512) 303-2779

NPI assigned

Mar 8, 2007

Last updated

Jun 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1891826061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 N PIEDRAS ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799304210",
            "telephone_number": "915-564-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N HASLER BLVD STE 209",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023984",
            "telephone_number": "512-807-6601",
            "fax_number": "512-303-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARES",
        "first_name": "ROSA",
        "middle_name": "ESMERALDA",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "TX",
            "license": "41005",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "41005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183874001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Layla Lorrain Nations, M.A., L.P.C.
• Neal Spears, MD PA
• Alicia E. Nunn-Elam, CPW
• Oakbend Medical Center (Windsor Nursing and Rehabilitation Center of Bastrop)
• Dinah Olguin Carlisle, RNFA
• Tope Olowo, MD
• One Health
• One Smile Dental PLLC
• Tracey Ortega, PHARMD
• Ortho 360, LLP (Bastrop Orthodontics)

• Clinical Social Worker in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.