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

Active since January 13, 2022PECOS Enrolled
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: September 27, 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 is enrolled in Medicare PECOS and 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
Phone(910) 703-8822
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
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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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Wardlaw Lcswa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28337 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivia Wardlaw's NPI number?

The NPI number for Olivia Wardlaw is 1396496139. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Where is Olivia Wardlaw located?

Olivia Wardlaw practices at 4036 Bus 17 East Bldg 600, Bolivia, NC 28337. The listed phone number is (910) 703-8822.

What is Olivia Wardlaw's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Olivia Wardlaw enrolled in Medicare?

Yes. Olivia Wardlaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olivia Wardlaw was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.