Olivya Wilson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010691 Issued in VA

Practice address

1919 Hopkins Rd Apt G
Richmond, VA 23224-6300

Phone

(973) 715-6957

NPI assigned

Jun 18, 2019

Last updated

Jun 18, 2019By 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 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

Practice roles

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.

• Greater Richmond Scan Cac

  • Mental Health Counselor
  • Richmond, VA
  • NPI 1538231881
  NPD (past)

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1942860390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 HOPKINS RD APT G",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232246300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 HOPKINS RD APT G",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232246300",
            "telephone_number": "973-715-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "OLIVYA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CORPORATION COMMISSION",
            "identifier": "S8345664",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "olivyawilson@gmail.com",
            "affiliation": "N",
            "address_1": "1919 Hopkins Rd Apt G",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232246300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Wilson, B.C.B.A.
• Katherine Albicker Wilson, LPC,
• Kathryn Wilson, LCSW
• Kayla Baldorado Wilson, SLP
• Milo S Wilson, PHD
• Pam Evans Wilson, OTR
• Qunique Wilson
• Richard William Wilson, LPC LMFT
• Staci Erica Wilson, RN
• Stephanie Louise Wilson, LMFT

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

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