ANGELA D. OLIVER LCSW NPI 1003008202

Social Worker (Clinical) in El Prado, NM

About ANGELA OLIVER

Angela Oliver is a provider in El Prado, NM. The NPI number assigned to this provider is 1003008202. The practitioner's primary taxonomy code is Social Worker (1041C0700X). The provider is registered as an individual and their NPI record was last updated 0 years ago.

NPI1003008202 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name ANGELA D. OLIVER LCSW
Provider Location Address244 TUNE DRIVE EL PRADO, NM 87529 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 278 EL PRADO, NM 87529 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-13-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-24-2017 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

ANGELA D. OLIVER LCSW
244 TUNE DRIVE
EL PRADO, NM
ZIP 87529
Phone: (575) 751-9858
Fax: (575) 751-9858
Get Directions

Mailing Address

ANGELA D. OLIVER LCSW
PO BOX 278
EL PRADO, NM
ZIP 87529
Phone:
Fax: (575) 613-1506

Primary Taxonomy

Taxonomy Code1041C0700X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.C-06235
License StateNM
Taxonomy DescriptionA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthI-06235NMNo

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
99881365MEDICAID (05)NM

Map Location


ANGELA D. OLIVER LCSW address is 244 TUNE DRIVE EL PRADO, NM 87529