Active NPI
Olivia A Raines, LCSW
- Clinical Social Worker
- Ponte Vedra Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW21758
- Practice address
- 98 Nocatee Village Dr
Ponte Vedra Beach, FL 32081-6152 - Phone
- (904) 376-3800
- NPI assigned
- Apr 30, 2024
- 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 | C016817 | NC | |
| Clinical Social Worker | 1041C0700X | SW21758 | FL | Primary |
Addresses
Primary practice location
98 Nocatee Village Dr
Ponte Vedra Beach, FL 32081-6152
Mailing address
PO Box 748519
Atlanta, GA 30374-8519
Phone (904) 376-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
98 Nocatee Village Dr
Ponte Vedra, FL 32081-6152
Phone (904) 376-3800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW21758 | FL | MD | Clinical Social Worker |
| C016817 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of North Carolina, P.C. | Clinical | Current | Accepting new patients |
| Optum Behavioral Care of North Carolina, PC | Current | Accepting new patients | |
| Optum Behavioral Care of North Carolina, PC | Current | Accepting new patients | |
| Baptist Behavioral Health, LLC | Current | Accepting new patients |
Locations
820 Prudential Dr
Ste 510
Jacksonville, FL 32207
98 Nocatee Village Dr
Ponte Vedra Beach, FL 32081
Phone (904) 202-4243
11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745
1101 Marco Dr
Ste 200
Apex, NC 27502
Phone (844) 534-7202
7400 Carmel Executive Park Dr
Ste 155
Charlotte, NC 28226
Phone (844) 534-7208
4102 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 972-7700
Organizations & group practices 4
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.
-
- Professional Counselor
- Jacksonville, FL
- NPI 1215906649
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1861371718
-
- Counseling Psychologist
- Charlotte, NC
- NPI 1427823749
-
dba Carolina Behavioral Care Centers
- Counseling Psychologist
- Hillsborough, NC
- NPI 1629843933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1932956760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748519",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748519",
"telephone_number": "904-376-3800",
"fax_number": "904-376-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 NOCATEE VILLAGE DR",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320816152",
"telephone_number": "904-376-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINES",
"first_name": "OLIVIA",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-30",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C016817",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW21758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponte Vedra Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.