OLIVIA WARDLAW LCSWA
NPI 1396496139
Social Worker - Clinical in Bolivia, NC

Active since January 13, 2022
4036 BUS 17, EAST BLDG 600, BOLIVIA, NC 28337(910) 703-8822(910) 754-3439 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 19, 2024, Jan 13, 2022 (2 updates tracked since 2022).

About Olivia Wardlaw Lcswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVIA WARDLAW LCSWA (NPI 1396496139) is an individual clinical provider in Bolivia, North Carolina, licensed in North Carolina (P016950) and active in the NPI registry since January 2022. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396496139
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameOLIVIA WARDLAWCredential: LCSWA
Location Address4036 BUS 17, EAST BLDG 600Bolivia, NC 28337
Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431 · (910) 343-0145 · Fax (910) 341-5779
Fax(910) 754-3439
Sole ProprietorNo
Enumeration DateJanuary 13, 2022
Last NPPES UpdateApril 19, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
NPI 1396496139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · P016950
Definition

A 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.

4036 BUS 17, Bolivia, NC 28337

Secondary Practice Locations 2

Location 1120 Coastal Horizons DrShallotte, NC 28470-6094 · Phone (910) 754-4515
Location 2615 Shipyard BlvdWilmington, NC 28412-6431 · Phone (910) 343-0145 · Fax (910) 341-5779

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396496139, enumerated as an "individual" on January 13, 2022.

The provider is located at 4036 BUS 17 EAST BLDG 600 BOLIVIA, NC 28337 and the phone number is (910) 703-8822.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.