Olivia Zieve Wernick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW92767 Issued in CA

Practice address

3400 Douglas Blvd Ste 225
Roseville, CA 95661-4283

Phone

(916) 740-3721

Fax

(916) 783-0513

NPI assigned

Sep 16, 2015

Last updated

Feb 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Telemedicine Group PCGroup PAC ID 9830351824, 94 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: telemed2u.oliviazievewernick@160918.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Telehealth Specialty Medical Group

  dba TeleMed2U

  • Emergency Medicine Physician
  • Roseville, CA
  • NPI 1326338237
  Medicare reassignment Care Compare group NPD
• Jayapal a Reddy MD and Radha T Reddy MD Inc

  • Specialist
  • Rancho Cucamonga, CA
  • NPI 1881937068
  NPD (past)
• Tele-Medicine Services Ny, PLLC

  • Internal Medicine Physician
  • Roseville, CA
  • NPI 1609663780
  NPD (past)

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1902275381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DOUGLAS BLVD STE 225",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614283",
            "telephone_number": "916-740-3721",
            "fax_number": "916-783-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 DOUGLAS BLVD STE 225",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614283",
            "telephone_number": "916-740-3721",
            "fax_number": "916-783-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNICK",
        "first_name": "OLIVIA",
        "middle_name": "ZIEVE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61047114",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW92767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellspace Health (WellSpace Health Sierra Gardens 2 Community Health Center)
• Wellspace Health (WellSpace Health Sierra Gardens Community Health Center)
• Wellspace Health (WellSpace Health Placer Community Health Center)
• Wellspace Health
• Caitlyn Werner, MS
• Robert Mark Wertz, MD
• Linda Ann Wesely, PT
• West Coast Psychiatry Associates, PC (West Coast Psychiatry)
• West Oak Dermatology Inc
• Terri West, RN

• Clinical Social Worker in Roseville, CA
• Providers in Roseville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.

Verify at the official NPI Registry.